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3077 Leeman Ferry Rd Sw, Huntsville, AL 35801-5614 | |
(256) 319-3402 | |
(256) 319-2087 |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Multi-specialty |
Location | 3077 Leeman Ferry Rd Sw, Huntsville, Alabama |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1801963970 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 1400 (Alabama) | Secondary |
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Charles D Brown |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1013936483 PECOS PAC ID: 2668505272 Enrollment ID: I20100803001038 |
Mailing Address | Practice Location Address |
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1104 Gleneagles Dr Sw Ste A, Huntsville, AL 35801-6511 Ph: (564) 894-1512 | 3077 Leeman Ferry Rd Sw, Huntsville, AL 35801-5614 Ph: (256) 319-3402 |