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Individual

DR. DEWEY REX CHALK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
118 CLARK ST, GROVE HILL, AL 36451
(251) 275-8460
Mailing address
118 CLARK ST., P.O. BOX 579, GROVE HILL, AL 36451
(251) 275-8460

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0899
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
70384
BLUE CROSS-BLUE SHIELD
AL
Enumeration date
07/07/2006
Last updated
07/08/2007
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