Individual
MR. JOHN CHARLES BLAKELY WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1334 MACKEY BRANCH DR, SUITE 104, CHATTANOOGA, TN 37421-3471
(423) 296-2604
(423) 296-2607
Mailing address
1334 MACKEY BRANCH DR, SUITE 104, CHATTANOOGA, TN 37421-3471
(423) 296-2604
(423) 296-2607
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR005485
GA
111N00000X
Chiropractor
DC0000001504
TN
Other
Enumeration date
09/28/2006
Last updated
05/25/2016
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