Individual
RONALD E PHILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
513 BROOKWOOD BLVD STE 101, HOMEWOOD, AL 35209-6878
(205) 933-8981
(205) 930-0746
Mailing address
513 BROOKWOOD BLVD STE 101, BIRMINGHAM, AL 35209-6878
(205) 933-8981
(205) 930-0746
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA-386
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009937562
—
AL
01
—
51534896
BCBS
AL
01
—
7803747
AETNA
—
Enumeration date
08/09/2005
Last updated
05/12/2026
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