Healthcare Provider Details

I. General information

NPI: 1154814945
Provider Name (Legal Business Name): MARY MORGAN BROWN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARY MORGAN WEED MD

II. Dates (important events)

Enumeration Date: 06/07/2018
Last Update Date: 06/13/2024
Certification Date: 06/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

806 SAINT VINCENTS DR STE 500
BIRMINGHAM AL
35205-1616
US

IV. Provider business mailing address

806 SAINT VINCENTS DR STE 500
BIRMINGHAM AL
35205-1617
US

V. Phone/Fax

Practice location:
  • Phone: 205-930-1800
  • Fax: 205-930-1818
Mailing address:
  • Phone: 205-930-1800
  • Fax: 205-930-1818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number48321
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: