Individual
DR. MORTON SUMNER RICKLESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
716 E 10TH ST, SUITE B, ANNISTON, AL 36207-4756
(256) 238-9500
(256) 238-9524
Mailing address
716 E 10TH ST, SUITE B, ANNISTON, AL 36207-4756
(256) 238-9500
(256) 238-9524
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
14546
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000081017
—
AL
01
—
51081017
BLUECROSS
AL
Enumeration date
09/20/2006
Last updated
02/23/2010
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