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NPI Code Detail

MEDICARE: DR. THAD FRANKLIN RYALS M.D.

MEDICARE: DR. THAD FRANKLIN RYALS M.D.
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
12084P0800XPsychiatry Physician24384AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
151521566OTHERALBLUE CROSS/SHIELD ALABAMA

General Provider Information

NPI Number : 1427147636
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THAD FRANKLIN RYALS M.D.
Provider Business Mailing Address
First Line : 2016 STONEGATE TRL STE 100
Second Line :
City : VESTAVIA HLS
State : AL
Zip : 35242-2249
Country : US
Telephone Number : 205-901-8408
Fax Number : 205-728-1541
Provider Business Practice Location Address
First Line : 2016 STONEGATE TRL STE 100
Second Line :
City : VESTAVIA HLS
State : AL
Zip : 35242-2249
Country : US
Telephone Number : 205-901-8408
Fax Number : 205-728-1541
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2006
Last Update Date : 12/14/2021

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