is a Chiropractor in Decatur, Alabama. practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for is 1700838976. The last update date is .
's current location address is Po Box 1707, Decatur, Alabama. You can contact this provider via phone number 2563516000 and fax number 2563018980. The mailing address for is Po Box 1707, Decatur, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | Po Box 1707, Decatur, Alabama |
| Phone Number | 2563516000 |
| Fax Number | 2563018980 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1700838976 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | Po Box 1707 |
|---|---|
| City | Decatur |
| State | Alabama (AL) |
| Post Code | 356021707 |
| Phone Number | 2563516000 |
| Fax Number | 2563018980 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2024 |
|
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 515-34536 | AL | BLUE CROSS - DECATUR |
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