Individual
PHILLIP R INGRAM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
902 W WASHINGTON ST, ATHENS, AL 35611-2438
(256) 216-9777
Mailing address
902 W WASHINGTON ST, ATHENS, AL 35611-2438
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43217
AL
Other
Enumeration date
04/13/2020
Last updated
12/28/2023
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