Provider Demographics
NPI:1780328732
Name:TOTAL CARE CHIROPRACTIC
Entity type:Organization
Organization Name:TOTAL CARE CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAMMY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:MCGOUGH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:256-533-2900
Mailing Address - Street 1:502 PRATT AVE NE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-6317
Mailing Address - Country:US
Mailing Address - Phone:256-533-2900
Mailing Address - Fax:256-533-1333
Practice Address - Street 1:7914 MEMORIAL PKWY SW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35802-2264
Practice Address - Country:US
Practice Address - Phone:256-881-1321
Practice Address - Fax:256-533-1333
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOTAL CARE CHIROPRACTIC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-04-26
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty