Tyler Carpenter, DC | |
4645 N Lee Hwy # 1, Cleveland, TN 37312-4042 | |
(423) 790-1451 | |
Not Available |
Full Name | Tyler Carpenter |
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Gender | Male |
Speciality | Chiropractor |
Location | 4645 N Lee Hwy # 1, Cleveland, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760253538 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 3798 (Tennessee) | Primary |
Provider Name | Cleveland Chiropractic And Rehabilitation Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1194483826 PECOS PAC ID: 9830576735 Enrollment ID: O20220516000616 |
Mailing Address | Practice Location Address |
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Tyler Carpenter, DC 1726 31st St Ne, Cleveland, TN 37323-5725 Ph: (423) 310-7864 | Tyler Carpenter, DC 4645 N Lee Hwy # 1, Cleveland, TN 37312-4042 Ph: (423) 790-1451 |
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