Provider Demographics
NPI:1033448584
Name:WEST KNOX UPPER CERVICAL CARE, P.C.
Entity Type:Organization
Organization Name:WEST KNOX UPPER CERVICAL CARE, P.C.
Other - Org Name:UPPER CERVICAL HEALTH CENTERS OF AMERICA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY/TREASURER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:ESTELLE
Authorized Official - Last Name:ANGLE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:864-680-5156
Mailing Address - Street 1:1421 WINDPOINTE WAY
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37931-4459
Mailing Address - Country:US
Mailing Address - Phone:864-680-5156
Mailing Address - Fax:
Practice Address - Street 1:1508 COLEMAN RD
Practice Address - Street 2:SUITE 107
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37909-3808
Practice Address - Country:US
Practice Address - Phone:865-316-8404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-11
Last Update Date:2009-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care