Individual
DANNY P INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
PO DRAWER 681330, PRATTVILLE, AL 36068-1330
(334) 365-2205
(334) 361-7975
Mailing address
PO DRAWER 681330, PRATTVILLE, AL 36068-1330
(334) 365-2205
(334) 361-7975
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10401
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000030008
—
AL
01
—
1326184029
ORGANIZATION NPI
AL
Enumeration date
07/11/2006
Last updated
03/28/2011
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