NPI 1003087164
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Practice location
- Address
- 1617 W Market St STE a, Johnson City, TN 37604-4903
- Phone
- (423) 975-0099
- Fax
- (423) 975-0996
- Mailing address
- PO Box 3563, Johnson City, TN 37602-3563
Authorised official
- Name
- Randy Craig Moze
- Title
- President
- Phone
- (423) 975-0099
Registered specialties
Chiropractor
Primary
Registry record
- NPI
- 1003087164
- Entity type
- Organization
- NPI issued
- 17 Mar 2008
- Record last updated
- 6 Dec 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.