Organization
BROADWAY SPINAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA E DOUGLAS DC (PARTNER)
(256) 861-8546
Entity
Organization
Contact information
Practice address
211 N BROADWAY AVE, SYLACAUGA, AL 35150-2525
(256) 861-8546
Mailing address
211 N BROADWAY AVE, SYLACAUGA, AL 35150-2525
(256) 861-8546
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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