Healthcare Provider Details
I. General information
NPI: 1881220838
Provider Name (Legal Business Name): MARY MARGARET BARR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/20/2020
Last Update Date: 06/22/2023
Certification Date: 06/22/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1600 7TH AVE S
BIRMINGHAM AL
35233-1711
US
IV. Provider business mailing address
1600 7TH AVE S
BIRMINGHAM AL
35233-1711
US
V. Phone/Fax
- Phone: 205-638-9107
- Fax:
- Phone: 205-638-9107
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | MD.46153 |
| License Number State | AL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080P0205X |
| Taxonomy | Pediatric Endocrinology Physician |
| License Number | MD.46153 |
| License Number State | AL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: