Healthsource of Decatur

NPI #1992168827 in Decatur, Alabama

Provider Information

NPI Number: 1992168827
Entity Type: Organization
Organization Name: Healthsource of Decatur
Primary Specialty: Chiropractor
Enumeration Date: Mar 29, 2016
Last Updated: Aug 19, 2016

Practice Location

Address: 2349 DANVILLE RD SW
Address 2: SUITE 210
City: Decatur
State: Alabama
ZIP Code: 35603-4284
Phone: (256) 822-1010

Authorized Official

Name: DAVID DEAN MATHIAS
Title: MANAGING MEMBER
Phone: (256) 777-5955

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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