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Individual

MR. GRAYSON KEITH PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
600 MAIN ST, SUITE 107, GARDENDALE, AL 35071-4675
(205) 631-8808
(205) 631-8832
Mailing address
600 MAIN ST, STE 107, GARDENDALE, AL 35071-3649
(205) 631-8808
(205) 631-8832

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2489
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1225488083
GROUP NPI # FOR GRAYSON PHILLIPS
01
1497100010
INDIVIDUAL NPI # FOR GRAYSON PHILLIPS
AL
Enumeration date
05/02/2016
Last updated
10/17/2016
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