Individual
MARIE D RAGLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 939-9587
(205) 975-4623
Mailing address
PO BOX 11407 DRAWER 646, BIRMINGHAM, AL 35246-0001
(205) 437-6098
(205) 437-5998
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD.23593
AL
208000000X
Pediatrics Physician
MD.23593
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009982960
—
AL
05
—
009986210
—
AL
01
—
1104813914
TRICARE SOUTH
AL
01
—
515-07806
BCBS
AL
01
—
515-07926
BCBS
AL
01
—
7505501
AETNA
AL
Enumeration date
10/06/2005
Last updated
06/11/2012
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