Individual
DR. JOHN SAMUEL IRWIN IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
104 POPWELL AVENUE, CLANTON, AL 35045-2324
(205) 755-4430
(205) 755-4472
Mailing address
104 POPWELL AVE, CLANTON, AL 35045-2324
(205) 755-4430
(205) 755-4472
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1994
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51553204
BCBS OF AL PROVIDER ID
AL
Enumeration date
09/27/2006
Last updated
07/20/2012
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