Individual
DR. TARA ELIZABETH DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
211 N BROADWAY AVE, SYLACAUGA, AL 35150-2525
(256) 861-8546
Mailing address
211 N BROADWAY AVE, SYLACAUGA, AL 35150-2525
(503) 545-4474
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2686
AL
111N00000X
Chiropractor
283579
OR
111N00000X
Chiropractor
CH00034416
WA
Other
Enumeration date
11/29/2006
Last updated
09/14/2022
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