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Individual

DAVID RICH ELLINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
619 19TH ST S, BIRMINGHAM, AL 35249-1900
(205) 934-4011
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
(205) 297-9411

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
29240
AL
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
29240
AL
207VG0400X
Gynecology Physician
29240
AL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00474241
MS
01
051117604
BCBS
AL
01
051117605
BCBS
AL
01
051117606
BCBS
AL
05
128836
AL
05
128837
AL
05
128839
AL
Enumeration date
06/07/2007
Last updated
07/18/2025
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