Provider Demographics
NPI:1023187267
Name:LILLARD, JAMES STEWART II (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:STEWART
Last Name:LILLARD
Suffix:II
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 ELIZABETH
Mailing Address - Street 2:SUITE 39
Mailing Address - City:ATHENS
Mailing Address - State:TN
Mailing Address - Zip Code:37303
Mailing Address - Country:US
Mailing Address - Phone:423-507-8305
Mailing Address - Fax:423-507-8333
Practice Address - Street 1:105 ELIZABETH
Practice Address - Street 2:SUITE 39
Practice Address - City:ATHENS
Practice Address - State:TN
Practice Address - Zip Code:37303
Practice Address - Country:US
Practice Address - Phone:423-507-8305
Practice Address - Fax:423-507-8333
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2012-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2087111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor