Provider Demographics
NPI:1366757957
Name:MCNALLY, ELAINE (DC)
Entity type:Individual
Prefix:DR
First Name:ELAINE
Middle Name:
Last Name:MCNALLY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75928 TALLASSEE HWY
Mailing Address - Street 2:
Mailing Address - City:WETUMPKA
Mailing Address - State:AL
Mailing Address - Zip Code:36092-5508
Mailing Address - Country:US
Mailing Address - Phone:334-514-7600
Mailing Address - Fax:334-415-7602
Practice Address - Street 1:75928 TALLASSEE HWY
Practice Address - Street 2:
Practice Address - City:WETUMPKA
Practice Address - State:AL
Practice Address - Zip Code:36092-5508
Practice Address - Country:US
Practice Address - Phone:334-514-7600
Practice Address - Fax:334-415-7602
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-09
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2049111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor