| NPI | 1952623316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN HENRY Billing Professional 334-396-6988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: AL 1762) |
| Enumeration Date | 2010-02-25 |
| Last Update Date | 2010-02-25 |