Individual
DR. PHILLIP GERARD MAXWELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1000 BELTLINE ROAD, SUITE V-1, DECATUR, AL 35601-6264
(256) 350-1166
(256) 350-5744
Mailing address
1000 BELTLINE ROAD, SUITE V-1, DECATUR, AL 35601-6264
(256) 350-1166
(256) 350-5744
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1215
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
72542
BC/BS
AL
01
—
P00133177
RAILROAD RETIREMENT
AL
Enumeration date
10/13/2005
Last updated
07/08/2007
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