Individual provider · Type 1 NPI
Justin F. Southall, DC
Chiropractor · Fairhope, AL
NPI number
1346403557
Active
Practice location
151 Fly Creek Avenue
Fairhope, AL 36532-3843
Fax (251) 928-0862
Mailing address
151 Fly Creek Ave
Fairhope, AL 36532
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 2292 (AL) |
Chiropractor: 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.
Another provider at this address
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About NPI 1346403557
Justin F. Southall, DC's National Provider Identifier is 1346403557, issued on Jul 8, 2008. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Fairhope, AL. The record was last updated on Oct 9, 2009.