Provider Demographics
NPI:1629180880
Name:TOWN & COUNTRY SPINAL PAIN CENTER
Entity Type:Organization
Organization Name:TOWN & COUNTRY SPINAL PAIN CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DONOVAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HARPER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:205-425-5428
Mailing Address - Street 1:5031 FORD PKWY
Mailing Address - Street 2:SUITE 112
Mailing Address - City:BESSEMER
Mailing Address - State:AL
Mailing Address - Zip Code:35022-5283
Mailing Address - Country:US
Mailing Address - Phone:205-425-5428
Mailing Address - Fax:205-425-7590
Practice Address - Street 1:5031 FORD PKWY
Practice Address - Street 2:SUITE 112
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35022-5283
Practice Address - Country:US
Practice Address - Phone:205-425-5428
Practice Address - Fax:205-425-7590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2085111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty