Spine Stop Portland, Pllc | |
305 S Broadway St, Portland, TN 37148-1413 | |
(270) 237-3304 | |
(270) 237-3305 |
Full Name | Spine Stop Portland, Pllc |
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Type | Facility |
Speciality | Chiropractor |
Location | 305 S Broadway St, Portland, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1659829562 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 2848 (Tennessee) | Primary |
Provider Name | Grant Guy Watkins |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1144251448 PECOS PAC ID: 0547227464 Enrollment ID: I20180829004014 |
Provider Name | Colin Grant Fultz |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1154856292 PECOS PAC ID: 0345510012 Enrollment ID: I20210215001110 |
Provider Name | Taylor Elizabeth Thompson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1205508082 PECOS PAC ID: 9234537283 Enrollment ID: I20211006001279 |
Provider Name | Rachel Mae Yeary |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1730851544 PECOS PAC ID: 7214335173 Enrollment ID: I20211012000839 |
Provider Name | Austin Burgett |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1801404249 PECOS PAC ID: 7517377856 Enrollment ID: I20230714002516 |
Mailing Address | Practice Location Address |
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Spine Stop Portland, Pllc 352 Old Gallatin Rd, Scottsville, KY 42164-8666 Ph: (270) 237-3304 | Spine Stop Portland, Pllc 305 S Broadway St, Portland, TN 37148-1413 Ph: (270) 237-3304 |
Dr. David Eric Snook, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 826 S Broadway St, Portland, TN 37148 Phone: 615-826-7889 | |
Dr. Gary Todd Barker, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 826 S Broadway, Portland, TN 37148 Phone: 615-323-0130 Fax: 615-323-0136 | |
Precision Chiropractic Of Portland Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 826 S Broadway St, Portland, TN 37148 Phone: 217-260-7931 | |
Abrahamson Chiropractic And Wellness Of Portland Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 826 S Broadway St, Portland, TN 37148 Phone: 615-826-7889 |