NPI 1063614683

Pridemore Family Chiropractic PC

Organisation Chiropractor Johnson City, TN

Practice location

Address: 514 E Watauga Ave, Johnson City, TN 37601-4039
Phone: (423) 928-4101
Fax: (423) 928-0994

Authorised official

Name: Shawn R Pridemore
Title: President
Phone: (423) 928-4101

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence DC00000001297 (TN)

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Registry record

NPI: 1063614683
Entity type: Organization
NPI issued: 5 Jun 2007
Record last updated: 29 Aug 2007

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.