Healthcare Provider Details

I. General information

NPI: 1073735098
Provider Name (Legal Business Name): MICHAEL SESAY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 09/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 E 7TH ST
ANNISTON AL
36207-5725
US

IV. Provider business mailing address

217 E 7TH ST
ANNISTON AL
36207-5725
US

V. Phone/Fax

Practice location:
  • Phone: 256-237-1535
  • Fax: 256-237-5053
Mailing address:
  • Phone: 256-237-1535
  • Fax: 256-237-5053

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number57008429
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number28353
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: