Provider Demographics
NPI:1174292502
Name:TAYLOR FLYTHE, DC, LLC
Entity type:Organization
Organization Name:TAYLOR FLYTHE, DC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DELANE
Authorized Official - Middle Name:
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-746-8369
Mailing Address - Street 1:5330 STADIUM TRACE PKWY STE 260
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-4704
Mailing Address - Country:US
Mailing Address - Phone:205-982-6880
Mailing Address - Fax:205-637-3013
Practice Address - Street 1:5330 STADIUM TRACE PKWY STE 260
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-4704
Practice Address - Country:US
Practice Address - Phone:205-982-6880
Practice Address - Fax:205-637-3013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-09
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty