Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | DC 28565 | CA |
N | 111NR0400X | Rehabilitation Chiropractor | DC28565 | CA |
N | 111NX0800X | Chiropractor Orthopedic Specialist | DC 28656 | CA |
NPI | 1669644324 |
---|---|
Provider Name | Dr. Jane Anne George |
First Address | Knoxville, TN 37919-8823 |
Second Address | Knoxville, TN 37919-8823 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2008 |
Last Update Date | 14/08/2020 |