Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 0000002311 | TN |
N | 207R00000X | Internist | 0000002311 | TN |
N | 111NI0900X | Internist | 0000002311 | TN |
N | 111NN1001X | Nutrition | 0000002311 | TN |
N | 111NR0400X | Rehabilitation Chiropractor | 0000002311 | TN |
NPI | 1043442858 |
---|---|
Provider Name | Dr. Cheryl R Williams-Elliston |
First Address | Hendersonville, TN 37075-3347 |
Second Address | Hendersonville, TN 37075-3347 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2009 |
Last Update Date | 21/02/2013 |