MEDICARE: AK HEALTH CONNECTION LLC

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	2913	TN

General Provider Information

NPI Number	:	1386006187
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AK HEALTH CONNECTION LLC

Provider Business Mailing Address
First Line	:	1100 KERMIT DR
Second Line	:	SUITE 26
City	:	NASHVILLE
State	:	TN
Zip	:	37217-2121
Country	:	US
Telephone Number	:	615-574-5075
Fax Number	:

Provider Business Practice Location Address
First Line	:	1100 KERMIT DR
Second Line	:	SUITE 26
City	:	NASHVILLE
State	:	TN
Zip	:	37217-2121
Country	:	US
Telephone Number	:	615-361-1172
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	GREGORY S BEAUCHAMP
Credential	:	D.C.
Telephone Number	:	615-574-5075

Provider Enumeration Date	:	03/22/2016
Last Update Date	:	05/09/2016

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Directions to “AK HEALTH CONNECTION LLC ” Practice Location

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