Individual
RICKY LAWTON PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1703 VESTWOOD HILLS DR, VESTAVIA, AL 35216-1367
(205) 979-0051
Mailing address
1703 VESTWOOD HILLS DR, VESTAVIA, AL 35216-1367
(205) 979-0051
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
00009483
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000039541
—
AL
01
—
051039541
BLUE CROSS/BLUE SHIELD
AL
Enumeration date
04/06/2006
Last updated
11/20/2012
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