Individual
RYAN D. RAINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
395 NORTHWOOD DR, CENTRE, AL 35960-1045
(256) 927-4900
(256) 927-9151
Mailing address
395 NORTHWOOD DR, CENTRE, AL 35960-1045
(256) 927-9162
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23683
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051557530
—
AL
01
—
510-03581
BCBS
AL
05
—
541388607
—
AL
Enumeration date
07/19/2006
Last updated
10/21/2013
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