Individual
DERICK JASON MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
GLENWOOD LANE, 150 GLENWOOD LANE, BIRMINGHAM, AL 35242-5700
(205) 969-2880
Mailing address
GLENWOOD LANE, 150 GLENWOOD LANE, BIRMINGHAM, AL 35242-5700
(205) 969-2880
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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