MEDICARE: DR. RILEY PARKS GUNTER DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	3801	TN

General Provider Information

NPI Number	:	1366259699
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RILEY PARKS GUNTER DC

Provider Business Mailing Address
First Line	:	2040 RESERVE BLVD STE A
Second Line	:
City	:	SPRING HILL
State	:	TN
Zip	:	37174-0735
Country	:	US
Telephone Number	:	615-653-4541
Fax Number	:

Provider Business Practice Location Address
First Line	:	2040 RESERVE BLVD STE A
Second Line	:
City	:	SPRING HILL
State	:	TN
Zip	:	37174-0735
Country	:	US
Telephone Number	:	615-653-4541
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/11/2024
Last Update Date	:	12/11/2024

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Directions to “ DR. RILEY PARKS GUNTER DC” Practice Location

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