Provider Demographics
NPI:1144660333
Name:ALABAMA INJURY CENTERS INC
Entity type:Organization
Organization Name:ALABAMA INJURY CENTERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:DAMATO
Authorized Official - Suffix:
Authorized Official - Credentials:DC, BCAO
Authorized Official - Phone:678-817-4053
Mailing Address - Street 1:200 OFFICE PARK DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MOUNTAIN BRK
Mailing Address - State:AL
Mailing Address - Zip Code:35223-2418
Mailing Address - Country:US
Mailing Address - Phone:205-803-2164
Mailing Address - Fax:205-803-2168
Practice Address - Street 1:200 OFFICE PARK DR
Practice Address - Street 2:SUITE 200
Practice Address - City:MOUNTAIN BRK
Practice Address - State:AL
Practice Address - Zip Code:35223-2418
Practice Address - Country:US
Practice Address - Phone:205-803-2164
Practice Address - Fax:205-803-2168
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-02
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2400111N00000X
AL2404111N00000X
AL2396111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty