Provider Demographics
NPI:1306467337
Name:GINGER ALRED, MD PC
Entity type:Organization
Organization Name:GINGER ALRED, MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GINGER
Authorized Official - Middle Name:L
Authorized Official - Last Name:ALRED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-624-3010
Mailing Address - Street 1:636 2ND ST NE STE B
Mailing Address - Street 2:
Mailing Address - City:ALABASTER
Mailing Address - State:AL
Mailing Address - Zip Code:35007-8817
Mailing Address - Country:US
Mailing Address - Phone:205-624-3010
Mailing Address - Fax:205-624-3423
Practice Address - Street 1:636 2ND ST NE STE B
Practice Address - Street 2:
Practice Address - City:ALABASTER
Practice Address - State:AL
Practice Address - Zip Code:35007-8817
Practice Address - Country:US
Practice Address - Phone:205-624-3010
Practice Address - Fax:205-624-3423
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-30
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty