Organization
GREEN SQUARED
Active
Parent organization
GREEN LIFE CHIROPRACTIC
Other names
Green Life Chiropractic
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREEN LIFE CHIROPRACTIC
Authorized official
DR. JODI K GREEN DC (DOCTOR OF CHIROPRACTIC)
(256) 822-8370
Entity
Organization
Contact information
Practice address
2418 DANVILLE RD SW STE C, DECATUR, AL 35603-4278
(256) 822-8370
Mailing address
2418 DANVILLE RD SW STE C, DECATUR, AL 35603-4278
(256) 822-8370
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
10/25/2019
Last updated
10/27/2020
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