Organization
ALABAMA VALLEY CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNY LEE ELDRED DC (DOCTOR OWNER)
(256) 232-1935
Entity
Organization
Contact information
Practice address
302 CRESTVIEW ST, ATHENS, AL 35611
(256) 232-1935
(256) 232-7528
Mailing address
302 CRESTVIEW ST, ATHENS, AL 35611
(256) 232-1935
(256) 232-7528
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0496
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
97224
BCBS
AL
Enumeration date
12/05/2006
Last updated
08/20/2008
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