Organization
BLUE RIDGE CHIROPRACTIC, LLC
Active
Other names
Blue Ridge Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOBBY JOSEPH LUSTER D.C. (PRESIDENT)
(334) 514-7327
Entity
Organization
Contact information
Practice address
2412 US HWY 231, WETUMPKA, AL 36092
(334) 514-7327
(334) 514-7328
Mailing address
1504 PRAIRIE LN, MONTGOMERY, AL 36117-3477
(334) 318-1427
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2153
AL
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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