Provider Demographics
NPI:1558667956
Name:OLIVER, MARC LINDSAY (DC)
Entity Type:Individual
Prefix:DR
First Name:MARC
Middle Name:LINDSAY
Last Name:OLIVER
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 1:311 S ROYAL OAKS BLVD
Mailing Address - Street 2:SUITE # 120
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-8244
Mailing Address - Country:US
Mailing Address - Phone:615-567-6249
Mailing Address - Fax:
Practice Address - Street 1:311 S ROYAL OAKS BLVD
Practice Address - Street 2:SUITE # 120
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-8244
Practice Address - Country:US
Practice Address - Phone:615-567-6249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-01
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNTN DC634111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor