Alton Earl Ingram Jr, MD is a
Plastic Surgery physician based in Tullahoma, Tennessee. Alton Earl Ingram Jr is licensed to practice in Tennessee (license number 27348) and his current practice location is 1821 N Washington St, Tullahoma, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(931) 455-2005.
NPI number for Alton Earl Ingram Jr is 1932601291 and his current mailing address is 1821 N Washington St, Tullahoma, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1932601291.
Physician's Profile
| Full Name | Alton Earl Ingram Jr |
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| Gender | Male |
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| Speciality | Plastic Surgery |
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| Location | 1821 N Washington St, Tullahoma, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1932601291
- Provider Enumeration Date: 03/02/2018
- Last Update Date: 03/02/2018
Medical Identifiers
Medical identifiers for Alton Earl Ingram Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932601291 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208200000X | Plastic Surgery | 27348 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alton Earl Ingram Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Alton Earl Ingram Jr, MD
1821 N Washington St,
Tullahoma, TN 37388-2221
Ph: (931) 455-2005 | Alton Earl Ingram Jr, MD
1821 N Washington St,
Tullahoma, TN 37388-2221
Ph: (931) 455-2005 |
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