| Healthsource Of Cleveland Pllc | |
|
4645 N Lee Hwy, Cleveland, TN 37312-4042 | |
| (423) 710-2443 | |
| (423) 475-6407 |
| Full Name | Healthsource Of Cleveland Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 4645 N Lee Hwy, Cleveland, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073858239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2339 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Healthsource Of Cleveland Pllc 4645 N Lee Hwy, Cleveland, TN 37312-4042 Ph: (423) 710-2443 | Healthsource Of Cleveland Pllc 4645 N Lee Hwy, Cleveland, TN 37312-4042 Ph: (423) 710-2443 |
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Paul Porceddu, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4645 N Lee Hwy, Cleveland, TN 37312 Phone: 423-790-1451 Fax: 423-790-1252 | |
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