Individual
MILTON DWIGHT PRESTRIDGE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6701 AIRPORT BLVD, SUITE A-101, MOBILE, AL 36608-6705
(251) 633-8880
(251) 634-4505
Mailing address
PO BOX 850489, MOBILE, AL 36685-0489
(251) 342-3949
(251) 631-3361
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00014745
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051509152
—
AL
Enumeration date
07/31/2006
Last updated
02/10/2011
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