| Brookhaven Chiropractic Center, Pllc | |
|
721 W Brookhaven Cir Memphis TN 38117-4503 | |
| (901) 767-8077 | |
| (901) 767-8861 |
| Full Name | Brookhaven Chiropractic Center, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 721 W Brookhaven Cir, Memphis, Tennessee |
| Authorized Official Name and Position | Richard Nolan Hathcock (OWNER) |
| Authorized Official Contact | 9017678077 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookhaven Chiropractic Center, Pllc 721 W Brookhaven Cir Memphis TN 38117-4503 Ph: (901) 767-8077 | Brookhaven Chiropractic Center, Pllc 721 W Brookhaven Cir Memphis TN 38117-4503 Ph: (901) 767-8077 |
| NPI Number | 1043448632 |
|---|---|
| Provider Enumeration Date | 06/23/2009 |
| Last Update Date | 06/23/2009 |
| Medicare PECOS PAC ID | 1355492745 |
|---|---|
| Medicare Enrollment ID | O20090624000665 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043448632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 1858 (Tennessee) | Primary |
| Provider Name | Richard N Hathcock |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1366412447 PECOS PAC ID: 5991856387 Enrollment ID: I20090624000660 |
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