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LIFE SOURCE OF CENTERVILLE
NPI 1366957656
Clinic/Center in Centerville, TN

Active since December 07, 2017
132A N CENTRAL AVE, CENTERVILLE, TN 37033(931) 729-4001(931) 729-4081 Get Directions Write a Review

NPPES record last updated: June 11, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 11, 2018, Dec 7, 2017 (2 updates tracked since 2017).

About Life Source Of Centerville NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFE SOURCE OF CENTERVILLE (NPI 1366957656) is a healthcare organization registered as a clinic/center in Centerville, Tennessee and active in the NPI registry since December 2017. The organization lists Robert E Wilson, Sole Owner, as its authorized official.

NPPES Registry Identity

NPI1366957656
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameROBERT WILSON, DC, PLLC
Location Address132A N CENTRAL AVECenterville, TN 37033
Mailing AddressPo Box 99Centerville, TN 37033-0099 · (931) 729-4001 · Fax (931) 729-4081
Phone(931) 729-4001
Fax(931) 729-4081
Organization SubpartNo
Authorized OfficialRobert E WilsonSole Owner · (931) 729-4001
Enumeration DateDecember 7, 2017
Last NPPES UpdateJune 11, 20182 updates tracked since enumeration
✔ NPI 1366957656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
132A N CENTRAL AVE, Centerville, TN 37033
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Other Names 1

Doing Business AsLife Source Of Centerville

Other Identifiers 2

Other1144589458Nppes - Individual Npi
Other6128617Blue Cross Blue Shied Of Tennessee

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT WILSON D.C.
Chiropractor
132A N CENTRAL AVE
CENTERVILLE, TN 37033
Hickman County (931) 729-4001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Wilson, Dc, PLLC's NPI number?

The NPI number for Robert Wilson, Dc, PLLC is 1366957656. It was assigned to this organization in the NPPES registry on December 7, 2017. The provider is doing business as Life Source Of Centerville.

Where is Robert Wilson, Dc, PLLC located?

Robert Wilson, Dc, PLLC is located at 132A N Central Ave, Centerville, TN 37033. The listed phone number is (931) 729-4001.

What is Robert Wilson, Dc, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Robert Wilson, Dc, PLLC was last updated on June 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.