Individual
DR. RALPH B FILLMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1108 ROSS CLARK CIRCLE, DOTHAN, AL 36301
(334) 793-5105
Mailing address
1118 ROSS CLARK CIRCLE, STE 700 ANESTHESIA CONSULTANTS MEDICAL GROUP PC, DOTHAN, AL 36301
(334) 793-5105
(334) 671-5073
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
00014897
AL
207LP2900X
Pain Medicine (Anesthesiology) Physician
00014897
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00416336A
—
GA
01
—
51081478
BCBS OF ALABAMA
AL
Enumeration date
01/10/2006
Last updated
08/22/2007
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