Individual
DR. ADAM WILLIAM BALOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1590 PELHAM RD S, SUITE 4, JACKSONVILLE, AL 36265-3379
(256) 435-2800
(256) 435-0318
Mailing address
1590 PELHAM RD S, SUITE 4, JACKSONVILLE, AL 36265-3379
(256) 435-2800
(256) 435-0318
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2004011261
MO
111N00000X
Chiropractor
Primary
2220
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
511-14934
BCBS
AL
Enumeration date
11/13/2006
Last updated
02/13/2013
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