person
Dr. Anthony Shane Black, DC
Chiropractor in Dothan, Alabama
NPI 1497724645

Anthony Shane Black is a Chiropractor based in Dothan, AL. Anthony Shane Black practices in Dothan, AL and has the professional credentials of DC. The NPI Number for Anthony Shane Black is 1497724645 and holds a License No. 1638 (Alabama).

The current practice location address for Anthony Shane Black is 1491 Hartford Hwy, Dothan, AL and can be reached out via phone at 334-673-1488 and via fax at 334-673-8798.

Location: 1491 Hartford Hwy, Dothan, AL, 36302-6853
person
Provider Profile Details
NPI Number
1497724645
Provider Name
Anthony Shane Black
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1491 Hartford Hwy, Dothan, AL, 36302-6853
Phone Number
334-673-1488
Fax Number
334-673-8798
Provider Enumeration Date
03/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1497724645 01 AL NPI
350045914 01 AL RAILROAD MEDICARE PALMETTO
51078506 01 AL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1491 Hartford Hwy
City
State
Zip
36301-3349
Phone Number
334-673-1488
Fax Number
334-673-8798
person
Provider Business Mailing Address Details
Address
1491 Hartford Hwy
City
State
Zip
36301-3349
Phone Number
334-673-1488
Fax Number
334-673-8798
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
1638 (Alabama)
Definition
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.
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