Organization
EAGLE LAKE CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARRIE SOUTHERLAND D.C. (CHIROPRACTIC PHYSICIAN)
(256) 582-4330
Entity
Organization
Contact information
Practice address
12844 US HIGHWAY 431 STE B, GUNTERSVILLE, AL 35976-9312
(256) 582-4330
Mailing address
12844 US HIGHWAY 431 STE B, GUNTERSVILLE, AL 35976-9312
(256) 582-4330
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2029
AL
Other
Enumeration date
11/30/2007
Last updated
11/30/2007
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