ANTHONY SHANE BLACK

DOTHAN, AL
NPI1497724645
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy111N00000X Chiropractor
(Licence: AL  1638)
Enumeration Date2006-03-17
Last Update Date2013-09-09
Business Address
Dr. ANTHONY SHANE BLACK DC
1491 HARTFORD HWY
DOTHAN, AL 36301-3349
Phone number: 334-673-1488
Mailing Address
Dr. ANTHONY SHANE BLACK DC
PO BOX 6853
DOTHAN, AL 36302-6853
Phone number: 334-673-1488