Organization
GARDENDALE CHIROPRACTIC CENTER
Active
Other names
Gardendale Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA LEE (AUTHORIZED OFFICIAL)
(205) 631-2433
Entity
Organization
Contact information
Practice address
1080 MAIN STREET, GARDENDALE, AL 35071-1111
(205) 631-2433
(205) 631-9124
Mailing address
PO BOX 1111, GARDENDALE, AL 35071-1111
(205) 631-2433
(205) 631-9124
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1213
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115282
—
AL
01
—
512-66179
BCBS AL
AL
01
—
512-66238
BCBS AL
AL
01
—
512-66664
BCBS AL
AL
Enumeration date
12/01/2006
Last updated
03/01/2022
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