| NPI | 1558423525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS M CHEATHAM Insurance Clerk 256-734-6813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AL 2063) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AL 818) |
| 111N00000X Chiropractor (Licence: AL 2061) | |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2010-01-26 |