Organization
HEALTHSOURCE OF MERIDIANVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB DEAN MATHIAS (MANAGING MEMBER)
(256) 874-2643
Entity
Organization
Contact information
Practice address
11850 HIGHWAY 231 431 N STE J, MERIDIANVILLE, AL 35759-2126
(217) 381-7825
Mailing address
11850 HIGHWAY 231 431 N STE J, MERIDIANVILLE, AL 35759-2126
(217) 381-7825
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
02/04/2025
Last updated
02/13/2025
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