Organization
SWG ENTERPRISES PC
Active
Other names
Gravely Chiropractic & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN W. GRAVELY D.C. (OWNER)
(251) 974-2225
Entity
Organization
Contact information
Practice address
4223 ORANGE BEACH BLVD, SUITE B, ORANGE BEACH, AL 36561-3459
(251) 974-2225
Mailing address
PO BOX 2157, ORANGE BEACH, AL 36561-2157
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2132
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32474
BCBS
AL
Enumeration date
08/22/2013
Last updated
07/15/2014
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