Basic Information
| Provider Information | |||||||||
| NPI: | 1699786970 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | HEALTH CONCEPTS GROUP, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 663 | ||||||||
| Address2: | |||||||||
| City: | MADISON | ||||||||
| State: | AL | ||||||||
| PostalCode: | 357580663 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2567220555 | ||||||||
| FaxNumber: | 2568305135 | ||||||||
| Practice Location | |||||||||
| Address1: | 1230 SLAUGHTER RD | ||||||||
| Address2: | SUITE C | ||||||||
| City: | MADISON | ||||||||
| State: | AL | ||||||||
| PostalCode: | 357585900 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2567220555 | ||||||||
| FaxNumber: | 2568305135 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/11/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | GILLIAM | ||||||||
| AuthorizedOfficialFirstName: | HOWARD | ||||||||
| AuthorizedOfficialMiddleName: | D | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 2567220555 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | D.C.,N.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 111N00000X | 0960 | AL | X | 193200000X MULTI-SPECIALTY GROUP | Chiropractic Providers | Chiropractor | 111N00000X | 1053 | AL | X | 193200000X MULTI-SPECIALTY GROUP | Chiropractic Providers | Chiropractor | 207R00000X | DO832 | AL | X | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.