| NPI | 1699786970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD D GILLIAM President 256-722-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AL 0960) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AL 1053) |
| 207R00000X Internal Medicine (Licence: AL DO832) | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2020-08-22 |