MEDICARE: DR. MARIA GOULAS MEYERS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	00020887	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	051034810	OTHER	AL	BLUE SHIELD
2	051034815	OTHER	AL	BLUE SHIELD
3	051034809	OTHER	AL	BLUE HIELD
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	051034811	OTHER	AL	BLUE SHIELD
6	051034814	OTHER	AL	BLUE SHIELD

General Provider Information

NPI Number	:	1821051053
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIA GOULAS MEYERS M.D.

Provider Business Mailing Address
First Line	:	500 CAHABA PARK CIR
Second Line	:	STE 100
City	:	BIRMINGHAM
State	:	AL
Zip	:	35242-8136
Country	:	US
Telephone Number	:	205-848-2273
Fax Number	:	205-848-2275

Provider Business Practice Location Address
First Line	:	1700 AVENUE E
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35218-1543
Country	:	US
Telephone Number	:	205-788-3321
Fax Number	:	205-241-5260

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2006
Last Update Date	:	09/11/2017

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Directions to “ DR. MARIA GOULAS MEYERS M.D.” Practice Location

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