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NPI Code Detail

MEDICARE: COOSA VALLEY CHIROPRACTIC CENTER,INC.

MEDICARE: COOSA VALLEY CHIROPRACTIC CENTER,INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor1184AL

General Provider Information

NPI Number : 1124324306
Entity Type Code : Organization
Provider Name (Legal Business Name) : COOSA VALLEY CHIROPRACTIC CENTER,INC.
Provider Business Mailing Address
First Line : 11 WESTERN AVE
Second Line :
City : SYLACAUGA
State : AL
Zip : 35150-2939
Country : US
Telephone Number : 256-245-0404
Fax Number : 256-245-0404
Provider Business Practice Location Address
First Line : 11 WESTERN AVE
Second Line :
City : SYLACAUGA
State : AL
Zip : 35150-2939
Country : US
Telephone Number : 256-245-0404
Fax Number : 256-245-0404
Authorized Official
Title or Position : OFFICE MANAGER
Name : JANET HOLMES
Credential :
Telephone Number : 256-245-0404
Provider Enumeration Date : 02/04/2011
Last Update Date : 02/24/2011

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Directions to “COOSA VALLEY CHIROPRACTIC CENTER,INC. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.