| NPI | 1053330340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN B COOPER Authorized Official 334-298-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AL 1542) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2022-06-14 |