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General NPI Number Information
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NPI Number | 1023118551
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Entity Type | Individual
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Provider Name | CRAIG A MIX D.C.
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Gender | Male
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Dates
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Enumeration Date | 09/24/2006
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 1013 W FORT WILLIAMS ST
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City | SYLACAUGA
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State | AL
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Zip | 35150-2301
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Country | US
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Telephone | 256-245-2258
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Fax | 205-235-2335
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Provider Business Mailing Address
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Address Line | 1423 GADSDEN HWY STE 105
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City | BIRMINGHAM
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State | AL
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Zip | 35235-3153
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Country | US
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Telephone | 205-661-6600
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Fax | 205-661-6601
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2072
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License Number State | AL
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