Organization
ACCIDENT SPINE & REHAB
Active
Organization
ACCIDENT SPINE & REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT ALAN TIDWELL D.C. (PRESIDENT)
(256) 383-5772
Entity
Organization
Contact information
Practice address
240 GADSDEN HWY, BIRMINGHAM, AL 35235-1006
(205) 561-6005
(205) 201-5004
Mailing address
819 MIMOSA PARK RD, TUSCALOOSA, AL 35405-4839
(205) 752-7503
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
1932
AL
Other
Enumeration date
12/11/2013
Last updated
07/21/2022
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