Provider Demographics
NPI:1235111964
Name:EWING, RALPH H JR (MD)
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:H
Last Name:EWING
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 7866
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36670-0866
Mailing Address - Country:US
Mailing Address - Phone:251-949-3513
Mailing Address - Fax:251-476-5460
Practice Address - Street 1:1613 N MCKENZIE ST
Practice Address - Street 2:
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-2247
Practice Address - Country:US
Practice Address - Phone:251-949-3513
Practice Address - Fax:251-476-5460
Is Sole Proprietor?:No
Enumeration Date:2005-11-17
Last Update Date:2007-08-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL93832085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51095647OtherBCBS
AL51095647OtherBCBS