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Organization

GRAVELY CHIROPRACTIC PC

Active
Other names
Gravely Chiropractic and Wellness
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEVEN W GRAVELY DC (CHIROPRACTOR)
(251) 980-2225
Entity
Organization

Contact information

Practice address
4223 ORANGE BEACH BLVD, SUITE B, ORANGE BEACH, AL 36561-3459
(251) 980-2225
(251) 980-2778
Mailing address
PO BOX 2157, ORANGE BEACH, AL 36561-2157
(251) 980-2225
(251) 980-2779

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2132
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
32474
BCBS OF AL
AL
01
K750
MEDICARE PTAN
AL
Enumeration date
05/10/2007
Last updated
11/20/2014
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