| 100 Chiro Sutter, Llc | |
|
4110 Charlotte Ave, Nashville, TN 37209-3706 | |
| (719) 217-0895 | |
| Not Available |
| Full Name | 100 Chiro Sutter, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 4110 Charlotte Ave, Nashville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982379285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Bryna Waters |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1528592839 PECOS PAC ID: 0749556728 Enrollment ID: I20220223000129 |
| Mailing Address | Practice Location Address |
|---|---|
| 100 Chiro Sutter, Llc 4110 Charlotte Ave, Nashville, TN 37209-3706 Ph: () - | 100 Chiro Sutter, Llc 4110 Charlotte Ave, Nashville, TN 37209-3706 Ph: (719) 217-0895 |
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