Organization
ACCIDENT SPINE AND REHAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT A TIDWELL D.C. (PRESIDENT)
(205) 561-2195
Entity
Organization
Contact information
Practice address
345 BEAR CREEK CUTOFF RD OFC ROAD, TUSCALOOSA, AL 35405-5964
(205) 561-6000
(205) 759-2709
Mailing address
819 MIMOSA PARK RD, SUITE D, TUSCALOOSA, AL 35405-4839
(205) 561-2195
(205) 752-7513
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
2100
AL
Other
Enumeration date
04/11/2012
Last updated
07/21/2022
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