Individual
DR. DARRELL SCOTT PRESTRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2122 OLD MONTGOMERY HWY, PELHAM, AL 35124-1138
(205) 621-3437
(205) 621-8550
Mailing address
PO BOX 531326, BIRMINGHAM, AL 35253-1326
(205) 621-3437
(205) 621-8550
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D0502
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000094295
—
AL
01
—
515-33912
BC BS OF AL
AL
Enumeration date
07/27/2005
Last updated
12/01/2015
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