Individual
DR. RONALD JOE ADCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
27900 N MAIN ST, STE 1, DAPHNE, AL 36526
(251) 621-1211
(251) 621-9052
Mailing address
27900 N MAIN ST, STE 1, DAPHNE, AL 36526
(251) 621-1211
(251) 621-9052
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S424TA003
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000026433
—
AL
01
—
051026433
BCBS
—
01
—
408540683
PALMETTO GBA
—
Enumeration date
06/06/2006
Last updated
09/01/2011
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