Healthcare Provider Details

I. General information

NPI: 1093826786
Provider Name (Legal Business Name): DANIEL STEVEN GIAMMO DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: DANIEL STEVEN GIAMMO DC

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11653 CHAPMAN HWY
SEYMOUR TN
37865-5099
US

IV. Provider business mailing address

11653 CHAPMAN HWY
SEYMOUR TN
37865-5099
US

V. Phone/Fax

Practice location:
  • Phone: 865-609-3330
  • Fax: 865-609-3390
Mailing address:
  • Phone: 865-609-3330
  • Fax: 865-609-3390

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number1978
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: