Individual
MARY INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1225 13TH AVE SE, DECATUR, AL 35601-4306
(256) 242-6443
(256) 255-2559
Mailing address
1225 13TH AVE SE, DECATUR, AL 35601-4306
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
41856
AL
Other
Enumeration date
04/10/2019
Last updated
11/07/2025
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