John  M  Youngblood    DC
Contract Details
ChiroPlus Of Alabama
Facility name
Provider ID
P000001921
NPI
1275705618
Tax ID
630995987
Effective Date
7/1/1999
Last Updated
4/16/2014
Direct Contract
Yes
Term Date
4/16/2014
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
260 South Cody Road
Mobile, AL 36695
United States
County
Mobile
Phone
2513448588 (Phone)
Billing Details
Address
260 Cody Road South
Mobile, AL 36695
Billing Phone
2513448588
Specialty Type
Chiropractic Medicine
Map
Address