Provider Demographics
NPI:1548356009
Name:ALRED, GINGER L (MD)
Entity type:Individual
Prefix:
First Name:GINGER
Middle Name:L
Last Name:ALRED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:636 2ND ST NE STE B
Mailing Address - Street 2:
Mailing Address - City:ALABASTER
Mailing Address - State:AL
Mailing Address - Zip Code:35007-8817
Mailing Address - Country:US
Mailing Address - Phone:205-624-3010
Mailing Address - Fax:205-624-3423
Practice Address - Street 1:636 2ND STREET N.E.
Practice Address - Street 2:SUITE B
Practice Address - City:ALABASTER
Practice Address - State:AL
Practice Address - Zip Code:35007
Practice Address - Country:US
Practice Address - Phone:205-663-5770
Practice Address - Fax:205-620-4610
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2020-02-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL4325207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000026305Medicaid
C73004Medicare UPIN
AL000026305Medicaid