Individual
DR. MARVIN KERON VICKERS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3940 GRANTS MILL RD, BIRMINGHAM, AL 35210-1204
(205) 951-2204
(205) 951-2242
Mailing address
6005 RIDGE TRL, BIRMINGHAM, AL 35242
(205) 995-0340
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1933
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4410443
UNITED HEALTHCARE
AL
01
—
U80955
VIVA
AL
Enumeration date
01/08/2007
Last updated
07/08/2007
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