Individual
JACKY RAY LANGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
115 E 5TH ST, TUSCUMBIA, AL 35674-2409
(256) 383-6238
(256) 383-6234
Mailing address
PO BOX 256, TUSCUMBIA, AL 35674-0256
(256) 383-6238
(256) 383-6234
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
744
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51002591
BC/BS
AL
01
—
51073375
AETNA
AL
Enumeration date
10/10/2005
Last updated
07/08/2007
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