Organization
ASSOCIATED CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA S WADE (OFFICE MANAGER)
(256) 237-9423
Entity
Organization
Contact information
Practice address
217 E 7TH ST, ANNISTON, AL 36207-5725
(256) 237-9423
(256) 237-6007
Mailing address
217 E 7TH ST, ANNISTON, AL 36207-5725
(256) 237-9423
(256) 237-6007
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2077
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-20259
BLUE CROSS PROVIDER
AL
Enumeration date
03/05/2007
Last updated
08/05/2008
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