Individual
MIRANDA JILL RINGOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2350 SCHILLINGER ROAD SOUTH, SUITE A, MOBILE, AL 36695
(251) 633-0123
(251) 410-6127
Mailing address
P.O. BOX 7627, MOBILE, AL 36670-0627
(251) 633-7211
(251) 410-6079
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25427
AL
208000000X
Pediatrics Physician
25427
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009932033
—
AL
05
—
01133759
—
MS
01
—
04-01392
UNITED HEALTH CARE
AL
01
—
51529525
BLUE CROSS
AL
Enumeration date
05/24/2006
Last updated
08/06/2010
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