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Individual

DR. BLAKE EDGAR BEARDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
6381 S CHALKVILLE RD, TRUSSVILLE, AL 35173-6304
(205) 661-6600
Mailing address
619 ELM AVE, BIRMINGHAM, AL 35242-6908
(205) 410-4529

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2846
AL

Other

Enumeration date
03/25/2025
Last updated
03/25/2025
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