Mark T Edge (NPI# 1831634542, PAC ID# 4789961533) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1831634542 |
| PAC ID by PECOS | 4789961533 |
| Professional Enrollment ID | I20170503001143 |
| Full Name | Mark T Edge |
| Organization Legal Name | RUDDER CHIROPRACTIC CENTER, LLC |
| Address |
25 Veterans Dr Decherd TN 37324-3887 |
| Phone Number | 9319674199 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 0840368692 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 25 Veterans Dr, Decherd, TN 37324-3887 | 9319674199 | RUDDER CHIROPRACTIC CENTER, LLC |
| Organization Legal Name | RUDDER CHIROPRACTIC CENTER, LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Rudder | Chiropractic | Rudder Chiropractic Center, LLC | 25 Veterans Dr, Decherd, TN 37324-3887 |
| Street Address |
25 VETERANS DR |
| City | DECHERD |
| State | TN |
| Zip | 37324-3887 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Rudder | Chiropractic | Rudder Chiropractic Center, LLC | 25 Veterans Dr, Decherd, TN 37324-3887 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dale Bryant Farris Jr. | Chiropractic | 1210 W Main St, Decherd, TN 37324-3607 | |
| Thomas F Phelps | Family Practice | Tennessee Pain Management and Rehabilitation PC | 2008 Decherd Blvd, Decherd, TN 37324-3818 |
| Wendy D Reed | Nurse Practitioner | Tennessee Pain Management and Rehabilitation PC | 2008 Decherd Blvd, Decherd, TN 37324-3818 |
| Lisa Tassie Holder | Physical Therapy | Drayer Physical Therapy of Tennessee LLC | 1948 Decherd Blvd, Suite 200, Decherd, TN 37324-3875 |
| Lindsey Knoer | Physical Therapy | Drayer Physical Therapy of Tennessee LLC | 1948 Decherd Blvd, Suite 200, Decherd, TN 37324-3875 |
| Brandy D Ballard | Nurse Practitioner | 86 A Bible Crossing Rd, Decherd, TN 37324-3886 |
| City | DECHERD |
| Zip Code | 37324 |
| Specialty | CHIROPRACTIC |
| City + Specialty | DECHERD + CHIROPRACTIC |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.