| Tyler Ridley, DC | |
|
76 Tabb Dr Ste C, Munford, TN 38058-8611 | |
| (901) 840-2234 | |
| (901) 840-2237 |
| Full Name | Tyler Ridley |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 76 Tabb Dr Ste C, Munford, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437730157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3423 (Tennessee) | Primary |
| Provider Name | Cannon Chiropractic, Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770755134 PECOS PAC ID: 2961581723 Enrollment ID: O20080505000513 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Ridley, DC 76 Tabb Dr Ste C, Munford, TN 38058-8611 Ph: (901) 840-2234 | Tyler Ridley, DC 76 Tabb Dr Ste C, Munford, TN 38058-8611 Ph: (901) 840-2234 |
Uwem Udofia, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 76 Tabb Dr Ste C, Munford, TN 38058 Phone: 901-840-2234 | |
James Lowry, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 76 Tabb Dr Ste C, Munford, TN 38058 Phone: 901-840-2234 | |
Dr. Andrea Michelle Jossell, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 76 Tabb Dr, Suite C, Munford, TN 38058 Phone: 901-840-2234 | |
Walter Johnson, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 76 Tabb Dr, Munford, TN 38058 Phone: 901-840-2234 | |
Dr. Jayson D Cannon, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 76 Tabb Dr, Suite C, Munford, TN 38058 Phone: 901-840-2234 Fax: 901-840-2237 | |
Alexander Wayne Parham, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 76 Tabb Dr Ste C, Munford, TN 38058 Phone: 901-840-2234 |