Individual
CARREY ANNE TILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
205 S UNIVERSITY BLVD, MOBILE, AL 36608-2927
(251) 380-0477
Mailing address
11685 BALSAM CT, SPANISH FORT, AL 36527-5783
(251) 380-0477
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2057
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51001036
BCBS
AL
01
—
P00194901
PALMETTO GBA RAILROAD
AL
Enumeration date
01/09/2007
Last updated
07/08/2007
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