Organization
INTEGRATIVE MEDICINE CENTRE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN LEE STUMP DC, EDD, L.AC (DIRECTOR)
(251) 990-8188
Entity
Organization
Contact information
Practice address
315 MAGNOLIA AVE, FAIRHOPE, AL 36532-2413
(251) 990-8188
(251) 990-8159
Mailing address
PO BOX 1390, FAIRHOPE, AL 36533-1390
(251) 990-8188
(251) 990-8159
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1206
AL
Other
Enumeration date
04/24/2008
Last updated
04/24/2008
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