Provider Demographics
NPI:1073665097
Name:MCCURDY, AMY CHARLOTTE (DC)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:CHARLOTTE
Last Name:MCCURDY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:AMY
Other - Middle Name:CHARLOTTE
Other - Last Name:MORGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:212 ROME AVE
Mailing Address - Street 2:
Mailing Address - City:PIEDMONT
Mailing Address - State:AL
Mailing Address - Zip Code:36272
Mailing Address - Country:US
Mailing Address - Phone:256-447-2366
Mailing Address - Fax:256-447-2366
Practice Address - Street 1:212 ROME AVE
Practice Address - Street 2:
Practice Address - City:PIEDMONT
Practice Address - State:AL
Practice Address - Zip Code:36272
Practice Address - Country:US
Practice Address - Phone:256-447-2366
Practice Address - Fax:256-447-2366
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1554111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
74513OtherBCBS
74513OtherBCBS