Providence Iii, LLC
NPI #1538889852 in Lebanon, Tennessee
Provider Information
- NPI Number
- 1538889852
- Entity Type
- Organization
- Organization Name
- Providence Iii, LLC
- Primary Specialty
- Chiropractor
- Enumeration Date
- Aug 29, 2022
- Last Updated
- Aug 29, 2022
Practice Location
Authorized Official
- Name
- JEREMY MASON
- Title
- GENERAL MANAGER
- Phone
- (615) 715-1823
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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