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1730510116
ACCIDENT SPINE & REHAB
MONTGOMERY, AL
NPI
1730510116
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Entity Type
Organization
Authorized Contact
BRENT ALAN TIDWELL
President
334-440-6757
Organization Subpart ?
No
Primary Taxonomy
111NR0400X
(Licence: AL 2162)
Enumeration Date
2013-12-10
Last Update Date
2013-12-10
Business Address
ACCIDENT SPINE & REHAB
4142 CARMICHAEL RD STE A
MONTGOMERY, AL 36106-2935
Phone number: 334-440-6757
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Mailing Address
ACCIDENT SPINE & REHAB
819 MIMOSA PARK RD
TUSCALOOSA, AL 35405-4839
Phone number: 334-440-6757
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