Organization
PRATTVILLE PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANNY P INGRAM MD (PRESIDENT)
(334) 365-2205
Entity
Organization
Contact information
Practice address
461 E MAIN STREET, PRATTVILLE, AL 36067
(334) 365-2205
(334) 361-7975
Mailing address
PO DRAWER 681330, PRATTVILLE, AL 36068-1330
(334) 365-2205
(334) 361-7975
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10401
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000030008
—
AL
01
—
51030008
BLUE CROSS BLUE SHIELD
AL
Enumeration date
01/29/2007
Last updated
02/21/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us