Organization
COMPLETE VITALITY LLC
Active
Other names
MedSpine
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT A TIDWELL DC (MANAGING PARTNER)
(205) 752-7503
Entity
Organization
Contact information
Practice address
2605 DANVILLE ROAD SW, DECATUR, AL 35603
(205) 561-6010
(855) 975-3042
Mailing address
819 MIMOSA PARK ROAD, STE D, TUSCALOOSA, AL 35405
(205) 561-6010
(855) 975-3042
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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