Provider Demographics
NPI:1417601675
Name:SCOLIOSIS CENTER OF ALABAMA LLC
Entity Type:Organization
Organization Name:SCOLIOSIS CENTER OF ALABAMA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:GATELL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:678-403-2121
Mailing Address - Street 1:1207 LORING ST NW
Mailing Address - Street 2:
Mailing Address - City:CULLMAN
Mailing Address - State:AL
Mailing Address - Zip Code:35055-2422
Mailing Address - Country:US
Mailing Address - Phone:678-403-2121
Mailing Address - Fax:
Practice Address - Street 1:1207 LORING ST NW
Practice Address - Street 2:
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35055-2422
Practice Address - Country:US
Practice Address - Phone:678-403-2121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-07
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Single Specialty