Pridemore Family Chiropractic PC
NPI #1063614683 in Johnson City, Tennessee
Provider Information
- NPI Number
- 1063614683
- Entity Type
- Organization
- Organization Name
- Pridemore Family Chiropractic PC
- Primary Specialty
- Chiropractor
- Enumeration Date
- Jun 5, 2007
- Last Updated
- Aug 29, 2007
Practice Location
- Address
- 514 E WATAUGA AVE
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37601-4039
- Phone
- (423) 928-4101
Authorized Official
- Name
- DR. SHAWN R PRIDEMORE, DC
- Title
- PRESIDENT
- Phone
- (423) 928-4101
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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