Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 14302 | AL |
NPI | 1093736332 |
---|---|
Provider Name | Carolyn Ringhoffer |
First Address | Mobile, AL 36608-1771 |
Second Address | Mobile, AL 36608-1771 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2006 |
Last Update Date | 24/05/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E75289 | (02) | AL |