Individual
DR. DOUGLAS GRANT CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
600 VESTAVIA PKWY, STE. 231, VESTAVIA, AL 35216-3756
(205) 979-7747
(205) 979-7741
Mailing address
600 VESTAVIA PKWY, SUITE 231, VESTAVIA HILLS, AL 35216-7715
(205) 979-7747
(205) 979-7741
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1308
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01384
BLUE CROSS BLUE SHIELD
AL
Enumeration date
01/22/2007
Last updated
10/19/2012
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