Healthcare Provider Details

I. General information

NPI: 1457315483
Provider Name (Legal Business Name): BARNES FAMILY CHIROPRACTIC CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 S MAGNOLIA ST
ADAMSVILLE TN
38310-2214
US

IV. Provider business mailing address

112 S MAGNOLIA ST
ADAMSVILLE TN
38310-2214
US

V. Phone/Fax

Practice location:
  • Phone: 731-632-9100
  • Fax: 731-632-1109
Mailing address:
  • Phone: 731-632-9100
  • Fax: 731-632-1109

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1363
License Number StateTN

VIII. Authorized Official

Name: DR. ROBIN B. BARNES
Title or Position: LLC MEMBER
Credential: D.C.
Phone: 731-632-9100