Organization
ALABAMA FAMILY CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN HENRY (BILLING PROFESSIONAL)
(334) 396-6988
Entity
Organization
Contact information
Practice address
1714 W 3RD ST, MONTGOMERY, AL 36106-1506
(334) 834-6282
(334) 834-6418
Mailing address
1714 W 3RD ST, MONTGOMERY, AL 36106-1506
(334) 834-6282
(334) 834-6418
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
1762
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51035505
BCBS OF ALABAMA
AL
01
—
51097398
BCBS OF ALABAMA
AL
05
—
529902520
—
AL
Enumeration date
02/25/2010
Last updated
02/25/2010
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