Healthcare Provider Details

I. General information

NPI: 1508825399
Provider Name (Legal Business Name): HUGH CLIFTON ATWELL D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2006
Last Update Date: 11/17/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3257 SE SALERNO RD SUITE 3
STUART FL
34997-6736
US

IV. Provider business mailing address

3257 SE SALERNO RD SUITE 3
STUART FL
34997-6736
US

V. Phone/Fax

Practice location:
  • Phone: 772-286-5277
  • Fax: 772-286-9478
Mailing address:
  • Phone: 772-286-5277
  • Fax: 772-286-9478

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH8186
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: