Provider Demographics
NPI:1982970927
Name:HAMRICK, CANDY MICHELLE (DC)
Entity Type:Individual
Prefix:
First Name:CANDY
Middle Name:MICHELLE
Last Name:HAMRICK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:CANDY
Other - Middle Name:MICHELLE
Other - Last Name:BROOKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:406 2ND AVE NW
Mailing Address - Street 2:
Mailing Address - City:CULLMAN
Mailing Address - State:AL
Mailing Address - Zip Code:35055-2825
Mailing Address - Country:US
Mailing Address - Phone:256-734-6813
Mailing Address - Fax:256-734-6880
Practice Address - Street 1:406 2ND AVE NW
Practice Address - Street 2:
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35055-2825
Practice Address - Country:US
Practice Address - Phone:256-734-6813
Practice Address - Fax:256-734-6880
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-23
Last Update Date:2012-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2356111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor