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Organization
NINTH AVENUE MEDICAL SERVICES, INC.
Active
Organization
NINTH AVENUE MEDICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY J. WALLACE D. C. (OWNER/PRESIDENT)
(850) 433-9337
Entity
Organization
Contact information
Practice address
4455 N 9TH AVE, PENSACOLA, FL 32503-2830
(850) 433-9337
(850) 433-8069
Mailing address
4455 N 9TH AVE, PENSACOLA, FL 32503-2830
(850) 433-9337
(850) 433-8069
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH4532
FL
Other
Enumeration date
02/10/2012
Last updated
02/10/2012
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