Healthcare Provider Details

I. General information

NPI: 1801779558
Provider Name (Legal Business Name): WINTER SOUTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2025
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1529 BESSEMER RD
BIRMINGHAM AL
35208-4016
US

IV. Provider business mailing address

1529 BESSEMER RD
BIRMINGHAM AL
35208-4016
US

V. Phone/Fax

Practice location:
  • Phone: 205-568-3224
  • Fax:
Mailing address:
  • Phone: 205-568-3224
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. RONALD D AGEE II
Title or Position: CEO
Credential: DPM
Phone: 205-568-3224