Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213EP1101X | Primary Podiatric Medicine | 103 | AL |
N | 111NR0200X | Radiology | 103 | AL |
N | 213ER0200X | Radiology | 103 | AL |
N | 2081S0010X | Sports Medicine | 103 | AL |
N | 213ES0000X | Sports Medicine | 103 | AL |
Y | 213ES0131X | Foot Surgery | 103 | AL |
NPI | 1407037955 |
---|---|
Provider Name | Dr. Ronald David Agee |
First Address | Birmingham, AL 35208-4016 |
Second Address | Birmingham, AL 35208-4016 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/11/2007 |
Last Update Date | 09/03/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2710019 | UNITED HEALTH CARE (01) | AL |
T68856 | (02) | AL |