Organization
SPINE & SPORT CHIROPRACTIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN H MCDONALD DC (PRESIDENT)
(205) 393-4308
Entity
Organization
Contact information
Practice address
1800 MCFARLAND BLVD E STE 340, TUSCALOOSA, AL 35404-5882
(205) 393-4308
Mailing address
1800 MCFARLAND BLVD E STE 340, TUSCALOOSA, AL 35404-5882
(205) 393-4308
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2082
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104860766
INDIVIDUAL NPI
AL
01
—
51527164
BCBS
AL
Enumeration date
01/18/2007
Last updated
04/09/2013
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