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Individual

CHASE WALTERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1491 HARTFORD HWY, DOTHAN, AL 36301-3349
(334) 673-1488
(334) 673-8798
Mailing address
PO BOX 6853, DOTHAN, AL 36302-6853
(334) 673-1488
(334) 673-8798

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2361
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1316213465
NPI
AL
01
51123682
BLUE CROSS BLUE SHIELD
AL
Enumeration date
03/22/2012
Last updated
07/24/2023
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