Organization
AG PODIATRIC SPECIALIST AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD DAVID AGEE DPM (OWNER)
(205) 925-5272
Entity
Organization
Contact information
Practice address
1529 BESSEMER RD, BIRMINGHAM, AL 35208-4016
(205) 925-5272
(205) 925-5278
Mailing address
1529 BESSEMER RD, BIRMINGHAM, AL 35208-4016
(205) 925-5272
(205) 925-5278
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
103
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000031102
EUFAULA PROVIDER
AL
01
—
069765001
DEMERC PROVIDER NUMBER
AL
01
—
1013028828
ORGANIZATIONAL NPI
AL
01
—
2710019
UNITED HEALTH CARE
AL
01
—
P00105372
RAILROAD MEDICARE
AL
Enumeration date
08/31/2006
Last updated
06/06/2009
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