MEDICARE: TENNESSEE CHIROPRACTIC ALLIANCE, PLLC

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	2210	TN

General Provider Information

NPI Number	:	1629487335
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TENNESSEE CHIROPRACTIC ALLIANCE, PLLC

Provider Business Mailing Address
First Line	:	875 SEVEN OAKS BLVD
Second Line	:	SUITE 430
City	:	SMYRNA
State	:	TN
Zip	:	37167-6223
Country	:	US
Telephone Number	:	615-984-7451
Fax Number	:	615-984-7461

Provider Business Practice Location Address
First Line	:	875 SEVEN OAKS BLVD
Second Line	:	SUITE 430
City	:	SMYRNA
State	:	TN
Zip	:	37167-6223
Country	:	US
Telephone Number	:	615-984-7451
Fax Number	:	615-984-7461

Authorized Official
Title or Position	:	MEMBER
Name	:	DR. ALISON B DAVIDSON
Credential	:	D.C.
Telephone Number	:	615-984-7451

Provider Enumeration Date	:	08/06/2014
Last Update Date	:	08/06/2014

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