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Organization

PETER CHARLES SULACK D.C.

Active
Other names
Exodus Chiropractic
Organization subpart
No

Provider details

NPI number
Authorized official
JOSH EASON (OFFICE MANAGER)
(865) 675-2050
Entity
Organization

Contact information

Practice address
10910 KINGSTON PIKE, SUITE 101, KNOXVILLE, TN 37934-2931
(865) 675-2050
Mailing address
10910 KINGSTON PIKE, SUITE 101, KNOXVILLE, TN 37934-2931
(865) 675-2050

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4033747
BLUE CROSS GROUP BILLING
TN
Enumeration date
02/22/2007
Last updated
10/27/2008
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