Smoky Mountain Natural Wellness

NPI #1124665278 in Maryville, Tennessee

Provider Information

NPI Number: 1124665278
Entity Type: Organization
Organization Name: Smoky Mountain Natural Wellness
Primary Specialty: Acupuncturist
Enumeration Date: Dec 9, 2019
Last Updated: Dec 9, 2019

Practice Location

Address: 2211 E BROADWAY AVE
City: Maryville
State: Tennessee
ZIP Code: 37804-3078
Phone: (865) 296-2955

Authorized Official

Name: JORDAN BLAKE BORING, L. AC.
Title: OWNER
Phone: (865) 296-2955

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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