EASTERN SHORE CHIROPRACTIC & SPORTS CLINIC INC NPI 1679809644

NPI Information

EASTERN SHORE CHIROPRACTIC & SPORTS CLINIC, INC is a chiropractor in Fairhope, AL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. EASTERN SHORE CHIROPRACTIC & SPORTS CLINIC, INC NPI is 1679809644. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

151 FLY CREEK AVENUE
SUITE 411
FAIRHOPE, AL
ZIP 36532-843
Phone: (225) 274-5507

The provider's authorized official is Justin Fisher Southall .
The authorized official title is President/owner and has the following contact phone number (225) 274-5507.

The enumeration date for this NPI number is 10/27/2009 and was last updated on 10/27/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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