Provider Demographics
NPI:1427147636
Name:RYALS, THAD FRANKLIN (MD)
Entity type:Individual
Prefix:DR
First Name:THAD
Middle Name:FRANKLIN
Last Name:RYALS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2016 STONEGATE TRL STE 100
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA HLS
Mailing Address - State:AL
Mailing Address - Zip Code:35242-2249
Mailing Address - Country:US
Mailing Address - Phone:205-901-8408
Mailing Address - Fax:205-728-1541
Practice Address - Street 1:2016 STONEGATE TRL STE 100
Practice Address - Street 2:
Practice Address - City:VESTAVIA HLS
Practice Address - State:AL
Practice Address - Zip Code:35242-2249
Practice Address - Country:US
Practice Address - Phone:205-901-8408
Practice Address - Fax:205-728-1541
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2021-12-14
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Provider Licenses
StateLicense IDTaxonomies
AL243842084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51521566OtherBLUE CROSS/SHIELD ALABAMA