| Functional Medicine Of Alabama, Pc | |
|
2228 Cahaba Valley Dr Birmingham AL 35242 | |
| (205) 593-4200 | |
| (205) 672-1009 |
| Full Name | Functional Medicine Of Alabama, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2228 Cahaba Valley Dr, Birmingham, Alabama |
| Authorized Official Name and Position | Marian Leigh St. Petery (PHYSICIAN/OWNER) |
| Authorized Official Contact | 2055934200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Functional Medicine Of Alabama, Pc 2228 Cahaba Valley Dr Birmingham AL 35242 Ph: (205) 593-4200 | Functional Medicine Of Alabama, Pc 2228 Cahaba Valley Dr Birmingham AL 35242 Ph: (205) 593-4200 |
| NPI Number | 1356567721 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 02/15/2019 |
| Medicare PECOS PAC ID | 0042259780 |
|---|---|
| Medicare Enrollment ID | O20050502000772 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356567721 | NPI | - | NPPES |
| 515-27516 | Other | AL | BCBS |
| K374 | Other | AL | MEDICARE GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO-797 (Alabama) | Primary |
| Provider Name | Marian L St Petery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811945280 PECOS PAC ID: 4981505294 Enrollment ID: I20040120000129 |
Lifestyle Management Of Birmingham, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10 Old Montgomery Hwy, Suite 100, Birmingham, AL 35209 Phone: 205-949-1900 Fax: 205-949-1919 | |
Protective Life Bhs Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2801 Us 280, Birmingham, AL 35223 Phone: 205-268-3265 | |
Inverness Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4902 Valleydale Rd, Birmingham, AL 35242 Phone: 205-980-8099 Fax: 205-980-2606 | |
Hoover Alt Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3421 S Shades Crest Rd, Birmingham, AL 35244 Phone: 205-936-2203 | |
Birmingham Clinics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1608 13th Ave S, 200, Birmingham, AL 35205 Phone: 205-918-7120 | |
Tom Tartt Brown, Jr., M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2660 10th Ave S, Ste 225, Birmingham, AL 35205 Phone: 205-933-5808 Fax: 205-930-2119 | |
Taylor Consulting, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3800 Ridgeway Dr, Birmingham, AL 35209 Phone: 205-447-0703 |