Individual
RICKY G DEERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
83 GEORGE WALLCE DR W, RAINSVILLE, AL 35986
(256) 638-1181
(256) 638-1183
Mailing address
PO BOX 1188, RAINSVILLE, AL 35986-1188
(256) 638-1181
(256) 638-1183
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12797
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000018209
—
AL
01
—
080013703
MEDICARE B RAILROAD
AL
01
—
51018209
BLUE CROSS BLUE SHIELD OF ALABAMA
AL
Enumeration date
01/30/2006
Last updated
06/14/2010
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