Provider Demographics
NPI:1376714725
Name:HIXON FAMILY CHIROPRACTIC PLC
Entity Type:Organization
Organization Name:HIXON FAMILY CHIROPRACTIC PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:COLEEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:CARBERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-648-0257
Mailing Address - Street 1:5617 HIGHWAY 153
Mailing Address - Street 2:SUITE 201
Mailing Address - City:HIXSON
Mailing Address - State:TN
Mailing Address - Zip Code:37343-4675
Mailing Address - Country:US
Mailing Address - Phone:423-648-0257
Mailing Address - Fax:423-648-0263
Practice Address - Street 1:5617 HIGHWAY 153
Practice Address - Street 2:SUITE 201
Practice Address - City:HIXSON
Practice Address - State:TN
Practice Address - Zip Code:37343-4675
Practice Address - Country:US
Practice Address - Phone:423-648-0257
Practice Address - Fax:423-648-0263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-13
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty