Justin F Southall (NPI# 1346403557, PAC ID# 3072653575) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1346403557 |
| PAC ID by PECOS | 3072653575 |
| Professional Enrollment ID | I20091214000635 |
| Full Name | Justin F Southall |
| Organization Legal Name | EASTERN SHORE CHIROPRACTIC AND SPORTS CLINIC, INC |
| Address |
151 Fly Creek Ave Suite 411 Fairhope AL 36532-8308 |
| Phone Number | 2519908383 |
| Gender | M |
| Graduation Year | 2007 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 8729128228 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 151 Fly Creek Ave, Suite 411, Fairhope, AL 36532-8308 | 2519908383 | EASTERN SHORE CHIROPRACTIC AND SPORTS CLINIC, INC |
| Organization Legal Name | EASTERN SHORE CHIROPRACTIC AND SPORTS CLINIC, INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie Stuckey Harrison | Chiropractic | Eastern Shore Chiropractic and Sports Clinic, Inc | 151 Fly Creek Ave, Suite 411, Fairhope, AL 36532-8308 |
| Street Address |
151 FLY CREEK AVE SUITE 411 |
| City | FAIRHOPE |
| State | AL |
| Zip | 36532-8308 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kayla Atchison Glenzer | Physical Therapy | Benchmark Physical Therapy of Alabama, LLC | 151 Fly Creek Ave, Suite 438, Fairhope, AL 36532-8309 |
| Stephanie Stuckey Harrison | Chiropractic | Eastern Shore Chiropractic and Sports Clinic, Inc | 151 Fly Creek Ave, Suite 411, Fairhope, AL 36532-8308 |
| Rebekah Kate Greer | Physical Therapy | Benchmark Physical Therapy of Alabama, LLC | 151 Fly Creek Ave, Suite 438, Fairhope, AL 36532-8309 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cameron Townsend Corte | Family Medicine | Fairhope Family Medicine, LLC | 21875 State Hwy 98, Fairhope, AL 36532 |
| Lea T Collins | Nurse Practitioner | Fairhope Family Medicine, LLC | 21875 State Hwy 98, Fairhope, AL 36532 |
| Regan M Andrade | Family Medicine | Fairhope Family Medicine, LLC | 21875 State Hwy 98, Fairhope, AL 36532 |
| Allan David Mills | Psychiatry | 761 B Middle St, Fairhope, AL 36532-1715 | |
| Sarah Gonzalez | Nurse Practitioner | Family Practice Associates of Montrose, Pa | 770 Middle St B, Fairhope, AL 36532-1766 |
| John J Broderick Cantwell | Psychiatry | 770 Middle St, Fairhope, AL 36532-1766 | |
| Frances T Fuller | Nurse Practitioner | Family Practice Associates of Montrose, Pa | 770 Middle St B, Fairhope, AL 36532-1766 |
| Stephen E Winston | Family Medicine | Family Practice Associates of Montrose, Pa | 770 Middle St B, Fairhope, AL 36532-1766 |
| Craig M Dowden | Family Medicine | Family Practice Associates of Montrose, Pa | 770 Middle St B, Fairhope, AL 36532-1766 |
| Karen Lynne Adams | Nurse Practitioner | Family Practice Associates of Montrose, Pa | 770 Middle St B, Fairhope, AL 36532-1766 |
| Find all physicians in zip 36532 | |||
| City | FAIRHOPE |
| Zip Code | 36532 |
| Specialty | CHIROPRACTIC |
| City + Specialty | FAIRHOPE + CHIROPRACTIC |
Please comment or provide details below to improve the information on Justin F Southall.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.