Organization
FORME MEDICAL &BURGESS CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE C BURGESS DC (DOCTOR OF CHIROPRACTIC)
(256) 237-9251
Entity
Organization
Contact information
Practice address
3001 MCCLELLAN BLVD, ANNISTON, AL 36201-2724
(256) 237-9251
(256) 236-7397
Mailing address
3001 MCCLELLAN BLVD, ANNISTON, AL 36201-2724
(256) 237-9251
(256) 236-7397
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
915
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51505603
BC PROVIDER #
AL
Enumeration date
03/20/2007
Last updated
11/19/2008
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