Organization
DR 10S CHIROPRACTIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAN TIAN DC (OWNER)
(256) 543-0009
Entity
Organization
Contact information
Practice address
2007 RAINBOW DR, GADSDEN, AL 35901
(256) 543-0009
(256) 549-1221
Mailing address
2007 RAINBOW DR, GADSDEN, AL 35901
(256) 543-0009
(256) 549-1221
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2090
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215014782
INDIVIDUAL NPI
AL
01
—
51521733
BCBS PROVIDER NUMBER
AL
Enumeration date
08/14/2007
Last updated
10/24/2007
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