Healthcare Provider Details

I. General information

NPI: 1710988720
Provider Name (Legal Business Name): DANIEL MEJER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2005
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2202A GATEWAY DRIVE
OPELIKA AL
36801-6870
US

IV. Provider business mailing address

3001 SCENIC HWY
GADSDEN AL
35904-3047
US

V. Phone/Fax

Practice location:
  • Phone: 256-546-9265
  • Fax: 256-549-0376
Mailing address:
  • Phone: 256-546-9265
  • Fax: 256-549-0376

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number20646
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: