| NPI | 1649407446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESHAN SHERARD GROSS Member 205-655-2277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AL 2065) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AL 1151) |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2012-01-10 |