Organization
PETRY CHIROPRACTIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDDIE P PETRY DC (OWNER)
(256) 891-3733
Entity
Organization
Contact information
Practice address
700 AL HIGHWAY 75 N, ALBERTVILLE, AL 35951-4014
(256) 891-3733
(256) 891-0602
Mailing address
700 AL HIGHWAY 75 N, ALBERTVILLE, AL 35951-4014
(256) 891-3733
(256) 891-0602
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
1566
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51518312
BLUE CROSS BLUE SHIELD
AL
Enumeration date
03/21/2012
Last updated
03/21/2012
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