Provider Demographics
NPI:1851402648
Name:IRONS, RICKY LEE (MD)
Entity Type:Individual
Prefix:
First Name:RICKY
Middle Name:LEE
Last Name:IRONS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 NORTH CEDAR STREET
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35630
Mailing Address - Country:US
Mailing Address - Phone:256-766-3062
Mailing Address - Fax:256-767-1804
Practice Address - Street 1:409 NORTH CEDAR STREET
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630
Practice Address - Country:US
Practice Address - Phone:256-766-3062
Practice Address - Fax:256-767-1804
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL10872207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL14561OtherBCBS
C73508Medicare UPIN
14561Medicare ID - Type Unspecified