MEDICARE: HOMEWOOD FAMILY CHIROPRACTIC

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	1567	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	664464	OTHER	AL	UNITED HEALTH CARE
2	51046155	OTHER	AL	BCBS

General Provider Information

NPI Number	:	1336341361
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOMEWOOD FAMILY CHIROPRACTIC

Provider Business Mailing Address
First Line	:	1812 28TH AVE S
Second Line	:
City	:	HOMEWOOD
State	:	AL
Zip	:	35209-2602
Country	:	US
Telephone Number	:	205-879-2273
Fax Number	:	205-870-4257

Provider Business Practice Location Address
First Line	:	1812 28TH AVE S
Second Line	:
City	:	HOMEWOOD
State	:	AL
Zip	:	35209-2602
Country	:	US
Telephone Number	:	205-879-2273
Fax Number	:	205-870-4257

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MORGAN AARON WOOD
Credential	:	D.C.
Telephone Number	:	205-879-2273

Provider Enumeration Date	:	06/01/2007
Last Update Date	:	08/22/2020

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Directions to “HOMEWOOD FAMILY CHIROPRACTIC ” Practice Location

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