# DR RITKY C DY MEDICAL CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083758338
- **Authorized official:** DR. RITKY C DY M.D. (OWNER)
- **Authorized official phone:** (205) 280-6789

## Contact information

- **Practice address:** 1221 7TH ST S, CLANTON, AL 35045-3723
- **Practice address phone:** (205) 280-6789
- **Practice address fax:** (205) 280-1350
- **Mailing address:** PO BOX 109, CLANTON, AL 35046-0109
- **Mailing address phone:** (205) 280-6789
- **Mailing address fax:** (205) 280-1350

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 18537 | AL | Yes |

## Other

- **Enumeration date:** 02/19/2007
- **Last updated:** 02/22/2022