Provider Demographics
NPI:1285463513
Name:THE MCCORD CLINIC, INC
Entity type:Organization
Organization Name:THE MCCORD CLINIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EDWIN
Authorized Official - Middle Name:ROCKFORD
Authorized Official - Last Name:MCCORD
Authorized Official - Suffix:I
Authorized Official - Credentials:DC
Authorized Official - Phone:251-480-7155
Mailing Address - Street 1:3737 GOVERNMENT BLVD STE 302
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36693-4361
Mailing Address - Country:US
Mailing Address - Phone:251-665-5585
Mailing Address - Fax:251-665-5525
Practice Address - Street 1:3737 GOVERNMENT BLVD STE 302
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36693-4361
Practice Address - Country:US
Practice Address - Phone:251-665-5585
Practice Address - Fax:251-665-5525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-26
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty