MEDICARE: DB MANAGEMENT GROUP, 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
1	111N00000X	Chiropractor	0983	AL

General Provider Information

NPI Number	:	1588893382
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DB MANAGEMENT GROUP, INC.

Provider Business Mailing Address
First Line	:	500 SHAE PARK RD
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36117-3597
Country	:	US
Telephone Number	:	334-272-3883
Fax Number	:	334-272-3886

Provider Business Practice Location Address
First Line	:	500 SHAE PARK RD
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36117-3597
Country	:	US
Telephone Number	:	334-272-3883
Fax Number	:	334-272-3886

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JAMES ROBERT HOLLIS JR.
Credential	:	D.C.
Telephone Number	:	334-272-3883

Provider Enumeration Date	:	07/14/2009
Last Update Date	:	07/14/2009

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