| NPI | 1922639798 |
|---|---|
| Doing Business As | CHIROSOURCE MADISON |
| Entity Type | Organization |
| Authorized Contact | ANDREW TYLER HIGDON Director 256-270-9413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2023-12-08 |