Organization
CROSSROADS CHIROPRACTIC CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JYLL MICHELLE PIVNICK D.C (OWNER)
(423) 538-5800
Entity
Organization
Contact information
Practice address
5964 HIGHWAY 11 E, PINEY FLATS, TN 37686-4746
(423) 538-5800
(423) 538-5800
Mailing address
5964 HIGHWAY 11 E, PINEY FLATS, TN 37686-4746
(423) 538-5800
(423) 538-5800
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1788
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3535619
—
TN
01
—
4012576
BCBS TN
TN
Enumeration date
08/28/2006
Last updated
08/03/2008
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