Healthcare Provider Details

I. General information

NPI: 1114077799
Provider Name (Legal Business Name): HEALTHCHOICE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2007
Last Update Date: 07/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

313 FIELDSTOWN RD SUITE 105
GARDENDALE AL
35071-2490
US

IV. Provider business mailing address

313 FIELDSTOWN RD SUITE 105
GARDENDALE AL
35071-2490
US

V. Phone/Fax

Practice location:
  • Phone: 205-631-9899
  • Fax: 205-631-9898
Mailing address:
  • Phone: 205-631-9899
  • Fax: 205-631-9898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2019
License Number StateAL

VIII. Authorized Official

Name: DR. SCOTT ALAN WOOD
Title or Position: OWNER
Credential: D.C.
Phone: 205-631-9899