Organization
MODERN CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW LERANDAL TALLEY D.C. (OWNER/PHYSICIAN)
(404) 644-9803
Entity
Organization
Contact information
Practice address
149 BUCK CREEK PLZ, ALABASTER, AL 35007-7005
(404) 644-9803
Mailing address
149 BUCK CREEK PLZ, ALABASTER, AL 35007-7005
(404) 644-9803
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2343
AL
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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