SOUTHEAST SPINE & SPORTS MEDICINE NPI 1821482589

NPI Information

SOUTHEAST SPINE & SPORTS MEDICINE is a chiropractor in Georgetown, TN. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. SOUTHEAST SPINE & SPORTS MEDICINE NPI is 1821482589. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1399 NO PONE VALLEY RD
GEORGETOWN, TN
ZIP 37336-846
Phone: (386) 366-2153

The provider's authorized official is Trevor Thompson Shaw .
The authorized official title is Owner / Doctor and has the following contact phone number (386) 366-2153.

The enumeration date for this NPI number is 3/20/2015 and was last updated on 9/18/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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