Individual
MARCUS WADE O'MARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
301 22ND AVE E, JASPER, AL 35501-4023
(205) 384-5358
(205) 384-5360
Mailing address
301 22ND AVE E, JASPER, AL 35501-4023
(205) 384-5358
(205) 384-5360
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1152
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051523516
BCBS PROVIDER NUMBER
AL
Enumeration date
12/13/2005
Last updated
10/22/2013
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