Individual
DR. JUSTIN F SOUTHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
151 FLY CREEK AVENUE, FAIRHOPE, AL 36532-3843
(225) 274-5507
(251) 928-0862
Mailing address
151 FLY CREEK AVE, FAIRHOPE, AL 36532
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2292
AL
Other
Enumeration date
07/08/2008
Last updated
10/09/2009
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