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NPI Code Detail

MEDICARE: RONALD PEARSON MD

MEDICARE: RONALD PEARSON MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician14957AL

General Provider Information

NPI Number : 1598792665
Entity Type Code : Individual
Provider Name (Legal Business Name) : RONALD PEARSON MD
Provider Business Mailing Address
First Line : 1200 CORPORATE DR
Second Line : SUITE 230
City : BIRMINGHAM
State : AL
Zip : 35242-2941
Country : US
Telephone Number : 205-995-7980
Fax Number : 205-995-7985
Provider Business Practice Location Address
First Line : 315 W HICKORY ST
Second Line :
City : SYLACAUGA
State : AL
Zip : 35150-2913
Country : US
Telephone Number : 205-995-7980
Fax Number : 205-995-7985
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2006
Last Update Date : 07/08/2007

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Directions to “ RONALD PEARSON MD” Practice Location

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