NPI 1043619760

Charles Amborn

Practitioner Chiropractor Mount Juliet, TN

Practice location

Address: 541 N Mount Juliet Rd Suite 2101, Mount Juliet, TN 37122-3873
Phone: (615) 758-7101

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 2799 (TN)

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Registry record

NPI: 1043619760
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Aug 2014
Record last updated: 19 Aug 2014

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.