Individual
ALLEN RANDOLPH HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
611 BROAD ST, SELMA, AL 36701-4505
(334) 872-4470
(334) 872-4471
Mailing address
611 BROAD ST, SELMA, AL 36701-4505
(334) 872-4470
(334) 872-4471
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1576
AL
Other
Enumeration date
10/25/2006
Last updated
04/24/2008
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