Healthcare Provider Details

I. General information

NPI: 1861797862
Provider Name (Legal Business Name): JAMES D.CULBERSON DC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2011
Last Update Date: 02/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1416 HIGHWAY 31 NW
HARTSELLE AL
35640-4428
US

IV. Provider business mailing address

1416 HIGHWAY 31 NW
HARTSELLE AL
35640-4428
US

V. Phone/Fax

Practice location:
  • Phone: 256-773-8896
  • Fax:
Mailing address:
  • Phone: 256-773-8896
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number1260
License Number StateAL

VIII. Authorized Official

Name: SYBIL CULBERSON
Title or Position: OFFICE MANAGER
Credential:
Phone: 256-773-8896