Provider Demographics
NPI:1518006642
Name:PLUMMER, GUY R (DC)
Entity Type:Individual
Prefix:DR
First Name:GUY
Middle Name:R
Last Name:PLUMMER
Suffix:
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 1:216 8TH AVE E
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:TN
Mailing Address - Zip Code:37172
Mailing Address - Country:US
Mailing Address - Phone:615-382-7123
Mailing Address - Fax:615-382-7334
Practice Address - Street 1:216 8TH AVE E
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:TN
Practice Address - Zip Code:37172
Practice Address - Country:US
Practice Address - Phone:615-382-7123
Practice Address - Fax:615-382-7334
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2011-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC0000000625111N00000X
WI1902 012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0079925OtherBCBS
TN3674761Medicare ID - Type Unspecified
TN0079925OtherBCBS