Individual
DR. PRINTELLA RIDGEWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
601 WEST BLVD, BIRMINGHAM, AL 35206-1300
(205) 591-5180
(205) 510-3476
Mailing address
601 WEST BLVD, BIRMINGHAM, AL 35206-1300
(205) 591-5180
(205) 510-3476
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
11329
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051032503
BLUE SHIELD
AL
05
—
113217
—
AL
05
—
303709079
—
AL
05
—
303739079
—
AL
01
—
510-65891
BLUE CROSS BLUE SHIELD
AL
Enumeration date
04/06/2006
Last updated
02/21/2011
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