Individual
DR. BRIAN KEITH GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1120 COLLEGE AVE, JACKSON, AL 36545-2405
(251) 246-7333
(251) 246-7249
Mailing address
1120 COLLEGE AVE, JACKSON, AL 36545-2405
(251) 246-7333
(251) 246-7249
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1862
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35161
BCBS PROVIDER #
AL
Enumeration date
12/06/2005
Last updated
06/08/2020
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