Healthcare Provider Details

I. General information

NPI: 1760570865
Provider Name (Legal Business Name): JAMES PATRICK DUGGAN DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 02/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15888 HWY 431 231 N
HAZEL GREEN AL
35750
US

IV. Provider business mailing address

1132 MULBERRY ROAD
HAZEL GREEN AL
35750
US

V. Phone/Fax

Practice location:
  • Phone: 256-828-0521
  • Fax:
Mailing address:
  • Phone: 256-828-0212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number0665
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: