Organization
A LYNN RIDGEWAY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. A LYNN RIDGEWAY MD (PRESIDENT)
(256) 383-4473
Entity
Organization
Contact information
Practice address
342 COX BLVD, SHEFFIELD, AL 35660-4020
(256) 383-4473
(256) 381-5232
Mailing address
PO BOX 2587, MUSCLE SHOALS, AL 35662-2587
(256) 383-4473
(256) 381-5232
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
17451
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000021679
—
AL
01
—
21679
BCBS
AL
Enumeration date
12/05/2006
Last updated
06/20/2012
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