Organization
DR. PAULA GILLIAM CHIROPRACTIC CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAULA DEAN GILLIAM D.C. (PRESIDENT)
(256) 430-0021
Entity
Organization
Contact information
Practice address
1900 SPARKMAN DR NW # A, HUNTSVILLE, AL 35816-1124
(256) 430-0021
(256) 830-1364
Mailing address
1900 SPARKMAN DR NW #A, HUNTSVILLE, AL 35816
(256) 430-0021
(256) 830-1364
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0961
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510-70500
BLUE CROSS
AL
Enumeration date
12/19/2006
Last updated
02/06/2012
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