Healthsource Of Hampton Cove

NPI 1497011811 - Chiropractor - 111NR0400X

NPI Details
NPI 1497011811
Enumeration Date 04/10/2012
Last Updated 10/19/2015
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name AMANDA REBECCA AMANDA
Position CHIROPRACTOR/OWNER
Phone (256) 536-8400
Fax (256) 536-8775
Practice Location
6388B HIGHWAY 431 S
SUITE 3
OWENS CROSS ROADS AL, 35763-9205, US
Phone (256) 536-8400
Fax (256) 536-8775
Business Location
6388B HIGHWAY 431 S
SUITE 3
OWENS CROSS ROADS AL, 35763-9205, US
Phone (256) 536-8400
Fax (256) 536-8775
Toxanomy
Taxonomy Code 111NR0400X
License State Alabama
License Number 1236
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According to our database, Healthsource Of Hampton Cove NPI is 1497011811, taxonomy code is 111NR0400X and license number is 1236, license state is located at Alabama. Healthsource Of Hampton Cove physically located at 6388b Highway 431 S, Owens Cross Roads AL, 35763-9205. NPI Number 1033115704 has the healthcare provider type.

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1497011811 NPI number is provided on an as is basis without warranty of any kind. 1497011811 is maintained by the National Plan & Provider Enumeration System. The contents of Healthsource Of Hampton Cove are for informational purposes only.