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CLAYTON SAMUEL ELLISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
3057 LORNA RD, SUITE 105, BIRMINGHAM, AL 35216-4514
(205) 822-1414
(205) 822-1499
Mailing address
3057 LORNA RD, SUITE 105, BIRMINGHAM, AL 35216-4514
(205) 822-1414
(205) 822-1499

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2257
AL

Other

Enumeration date
08/15/2011
Last updated
08/15/2011
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