Provider Demographics
NPI:1235494717
Name:DR. J CLIFFORD BROWN, A DIVISION OF HENDERSONVILLE REHAB CLINIC, INC
Entity type:Organization
Organization Name:DR. J CLIFFORD BROWN, A DIVISION OF HENDERSONVILLE REHAB CLINIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:CLIFFORD
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-824-8484
Mailing Address - Street 1:635 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-2645
Mailing Address - Country:US
Mailing Address - Phone:615-824-8484
Mailing Address - Fax:615-826-0669
Practice Address - Street 1:635 E MAIN ST
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-2645
Practice Address - Country:US
Practice Address - Phone:615-824-8484
Practice Address - Fax:615-826-0669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-10
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty