| NPI | 1306967260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY PATRICIA ELLIOTT Officer Manager 205-674-6740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AL 1010) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |