Provider Demographics
NPI:1023118551
Name:MIX, CRAIG A (DC)
Entity type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:A
Last Name:MIX
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1423 GADSDEN HWY STE 105
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35235-3153
Mailing Address - Country:US
Mailing Address - Phone:205-661-6600
Mailing Address - Fax:205-661-6601
Practice Address - Street 1:1013 W FORT WILLIAMS ST
Practice Address - Street 2:
Practice Address - City:SYLACAUGA
Practice Address - State:AL
Practice Address - Zip Code:35150-2301
Practice Address - Country:US
Practice Address - Phone:256-245-2258
Practice Address - Fax:205-235-2335
Is Sole Proprietor?:No
Enumeration Date:2006-09-24
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2072111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor