| NPI | 1619095312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HEDGEPETH Owner 256-216-1006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AL 2075) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AL 2073) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |