Provider Demographics
NPI:1366424178
Name:TONEY, PAUL (DC)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:
Last Name:TONEY
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 1:800 SPARTA ST
Mailing Address - Street 2:
Mailing Address - City:MCMINNVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37110-2632
Mailing Address - Country:US
Mailing Address - Phone:931-474-1474
Mailing Address - Fax:931-474-1475
Practice Address - Street 1:800 SPARTA ST
Practice Address - Street 2:
Practice Address - City:MCMINNVILLE
Practice Address - State:TN
Practice Address - Zip Code:37110-2632
Practice Address - Country:US
Practice Address - Phone:931-474-1474
Practice Address - Fax:931-474-1475
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-17
Last Update Date:2013-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009204111N00000X
TN2157111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor