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NPI Code Detail

MEDICARE: DR. WADE CLINGAN, D.C, P.C. AT FIRST CHOICE CHIROPRACTIC

MEDICARE: DR. WADE CLINGAN, D.C, P.C. AT FIRST CHOICE 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
1111N00000XChiropractor1948AL

General Provider Information

NPI Number : 1689773608
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR. WADE CLINGAN, D.C, P.C. AT FIRST CHOICE CHIROPRACTIC
Provider Business Mailing Address
First Line : 550 MCQUEEN SMITH RD N
Second Line :
City : PRATTVILLE
State : AL
Zip : 36066-5558
Country : US
Telephone Number : 334-358-0320
Fax Number : 334-358-8923
Provider Business Practice Location Address
First Line : 550 MCQUEEN SMITH RD N
Second Line :
City : PRATTVILLE
State : AL
Zip : 36066-5558
Country : US
Telephone Number : 334-358-0320
Fax Number : 334-358-8923
Authorized Official
Title or Position : DOCTOR
Name : MR. WADE GLEN CLINGAN
Credential : D.C,P.C.
Telephone Number : 334-358-0320
Provider Enumeration Date : 09/22/2006
Last Update Date : 08/22/2020

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Directions to “DR. WADE CLINGAN, D.C, P.C. AT FIRST CHOICE CHIROPRACTIC ” Practice Location

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