Healthcare Provider Details

I. General information

NPI: 1447948104
Provider Name (Legal Business Name): DAVID GREENE DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2023
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1122 BRADSHAW DR
FLORENCE AL
35630-1438
US

IV. Provider business mailing address

1122 BRADSHAW DR
FLORENCE AL
35630-1438
US

V. Phone/Fax

Practice location:
  • Phone: 256-765-0002
  • Fax: 256-765-0022
Mailing address:
  • Phone: 256-765-0002
  • Fax: 256-765-0022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2787
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: