NPI 1144490129

Bayside Chiropractic, LLC

Organisation Preferred Provider Organization Daphne, AL

Practice location

Address: 30941 Mill Lane Unit B, Daphne, AL 36526
Phone: (251) 626-8242

Authorised official

Name: Leslie Michelle Bryan
Title: Chiropractor
Phone: (251) 626-8242

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 2388 (AL)

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Registry record

NPI: 1144490129
Entity type: Organization
NPI issued: 6 Mar 2008
Record last updated: 6 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.