Healthcare Provider Details

I. General information

NPI: 1669644324
Provider Name (Legal Business Name): JANE ANNE GEORGE DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2008
Last Update Date: 08/14/2020
Certification Date: 08/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7423 S NORTHSHORE DR
KNOXVILLE TN
37919-8823
US

IV. Provider business mailing address

7423 S NORTHSHORE DR
KNOXVILLE TN
37919-8823
US

V. Phone/Fax

Practice location:
  • Phone: 865-455-1750
  • Fax:
Mailing address:
  • Phone: 865-455-1750
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License NumberDC28565
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License NumberDC 28656
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License NumberDC 28565
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: