MEDICARE: JOHN MICHAEL STRAUGHN SR. 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	174400000X	Specialist	00003811	AL

General Provider Information

NPI Number	:	1508865957
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN MICHAEL STRAUGHN SR. M.D.

Provider Business Mailing Address
First Line	:	2006 BROOKWOOD MEDICAL CTR DR
Second Line	:	SUITE 300
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209-6899
Country	:	US
Telephone Number	:	205-397-8850
Fax Number	:	205-397-8855

Provider Business Practice Location Address
First Line	:	2006 BROOKWOOD MEDICAL CTR DR
Second Line	:	SUITE 300
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209-6899
Country	:	US
Telephone Number	:	205-397-8850
Fax Number	:	205-397-8855

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

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	02/16/2010

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