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Individual

DR. ROBERT WAYNE MASHBURN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
4937 SAUNDERSVILLE RD., OLD HICKORY, TN 37138
(615) 758-1234
Mailing address
4937 SAUNDERSVILLE RD., OLD HICKORY, TN 37138
(615) 758-1234

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
380
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0030349
BLUE CROSS BLUE SHIELD
TN
01
7864616
CIGNA
TN
Enumeration date
08/23/2006
Last updated
07/08/2007
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