MEDICARE: TAJUAN WOODY PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	AL2053	AL

General Provider Information

NPI Number	:	1083995971
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TAJUAN WOODY PC

Provider Business Mailing Address
First Line	:	4500 MONTEVALLO RD
Second Line	:	SUITE B 101
City	:	IRONDALE
State	:	AL
Zip	:	35210-3129
Country	:	US
Telephone Number	:	205-957-5445
Fax Number	:	205-957-5501

Provider Business Practice Location Address
First Line	:	4500 MONTEVALLO RD
Second Line	:	SUITE B 101
City	:	IRONDALE
State	:	AL
Zip	:	35210-3129
Country	:	US
Telephone Number	:	205-957-5445
Fax Number	:	205-957-5501

Authorized Official
Title or Position	:	OWNER
Name	:	DR. TAJUAN WOODY
Credential	:	DC
Telephone Number	:	205-957-5445

Provider Enumeration Date	:	09/06/2011
Last Update Date	:	10/17/2017

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Directions to “TAJUAN WOODY PC ” Practice Location

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