MEDICARE: DR. CRAIG A MIX D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2072	AL

General Provider Information

NPI Number	:	1023118551
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CRAIG A MIX D.C.

Provider Business Mailing Address
First Line	:	1423 GADSDEN HWY STE 105
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35235-3153
Country	:	US
Telephone Number	:	205-661-6600
Fax Number	:	205-661-6601

Provider Business Practice Location Address
First Line	:	1013 W FORT WILLIAMS ST
Second Line	:
City	:	SYLACAUGA
State	:	AL
Zip	:	35150-2301
Country	:	US
Telephone Number	:	256-245-2258
Fax Number	:	205-235-2335

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/24/2006
Last Update Date	:	06/13/2025

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