Healthcare Provider Details

I. General information

NPI: 1982245551
Provider Name (Legal Business Name): HEALTH STAR NORTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2019
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1210 20TH ST S STE 200
BIRMINGHAM AL
35205-3899
US

IV. Provider business mailing address

PO BOX 241467
MONTGOMERY AL
36124-1467
US

V. Phone/Fax

Practice location:
  • Phone: 205-203-0000
  • Fax:
Mailing address:
  • Phone: 334-202-2680
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. CANDICE COBB
Title or Position: CLINICAL DIRECTOR
Credential: D.C.
Phone: 334-202-2680