Mark Tyler Edge

NPI #1831634542 in Winchester, Tennessee

Provider Information

NPI Number: 1831634542
Entity Type: Individual
Name: Mark Tyler Edge
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Enumeration Date: Jan 4, 2017
Last Updated: Jan 4, 2017

Practice Location

Address: 1229 DINAH SHORE BLVD
City: Winchester
State: Tennessee
ZIP Code: 37398-1135
Phone: (931) 967-4199

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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