MEDICARE: ROBERT MABRY 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	111NN1001X	Nutrition Chiropractor	DC0000001896	TN

General Provider Information

NPI Number	:	1104986249
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT MABRY DC

Provider Business Mailing Address
First Line	:	500 CHURCH ST
Second Line	:	SUITE 180
City	:	NASHVILLE
State	:	TN
Zip	:	37219-2320
Country	:	US
Telephone Number	:	615-255-7900
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 CHURCH ST
Second Line	:	SUITE 180
City	:	NASHVILLE
State	:	TN
Zip	:	37219-2320
Country	:	US
Telephone Number	:	615-255-7900
Fax Number	:

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

Provider Enumeration Date	:	12/11/2006
Last Update Date	:	07/08/2007

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Directions to “ ROBERT MABRY DC” Practice Location

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