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Contact Information

ACCIDENT SPINE & REHAB
4180 CARMICHAEL RD
MONTGOMERY, AL36106
 Phone: 205-561-6019
 Fax: 334-239-8724
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

111NR0400X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for ACCIDENT SPINE & REHAB

NPI # 1730510116
LBN Legal business name ACCIDENT SPINE & REHAB
Authorized official BRENT TIDWELL - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/10/2013
Last updated 12/10/2013 - About 12 years ago
Identifiers
AL License # 2162
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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