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DR. AUTUMN TENAE BLACKBURN D.C.

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1811332349

Individual Registrant:
DR. AUTUMN TENAE BLACKBURN D.C.
Gender: F
Sole Proprietor

Location and contact information for practice:
14811 LEBANON RD  OLD HICKORY, TN 37138-1820 US
Tel: 615-758-5650  Fax: 615-758-5651

Contact information for business:
14811 LEBANON RD  OLD HICKORY, TN 37138-1820 US
Tel: 615-758-5650  Fax: 615-758-5651

Registration Information:
NPI: 1811332349
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
TN2657

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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