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Individual

RON GLENN ERICKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
100 OXMOOR BLVD, BIRMINGHAM, AL 35209-5948
(615) 926-7347
Mailing address
178 CARRONBRIDGE WAY, FRANKLIN, TN 37067-2699
(615) 926-7347

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary

Other

Enumeration date
07/11/2014
Last updated
03/21/2015
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Product
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  • EDI platform