Individual
DR. RONALD MILTON HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
659 AZALEA RD, MOBILE, AL 36609
(251) 666-1310
(251) 602-0460
Mailing address
659 AZALEA RD, MOBILE, AL 36609
(251) 666-1310
(251) 602-0460
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3512
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
863691
UNITED CONCORDIA
—
01
—
93147
BCBS
—
Enumeration date
08/22/2006
Last updated
07/08/2007
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