Southern Spine and Sport LLC
NPI #1366909822 in Mount Juliet, Tennessee
Provider Information
- NPI Number
- 1366909822
- Entity Type
- Organization
- Organization Name
- Southern Spine and Sport LLC
- Primary Specialty
- Chiropractor
- Enumeration Date
- Feb 20, 2019
- Last Updated
- Feb 20, 2019
Practice Location
- Address
- 2530 N MOUNT JULIET RD
- City
- Mount Juliet
- State
- Tennessee
- ZIP Code
- 37122-3007
- Phone
- (615) 758-6422
Authorized Official
- Name
- DR. DANIEL HOLLAND, DC
- Title
- HEAD CLINICIAN
- Phone
- (615) 758-6422
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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