NPI | 1982702163 |
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Doing Business As | TIDWELL CHIROPRACTIC P.C. |
Entity Type | Organization |
Authorized Contact | BRENT ALAN TIDWELL Chiropractor / Owner 205-752-7503 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Enumeration Date | 2006-09-20 |
Last Update Date | 2008-01-17 |