MEDICARE: WALTER E MEYER III MD

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	207RG0100X	Gastroenterology Physician	00008811	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629067996
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WALTER E MEYER III MD

Provider Business Mailing Address
First Line	:	PO BOX 2324
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35201-2324
Country	:	US
Telephone Number	:	256-533-6488
Fax Number	:	256-533-6495

Provider Business Practice Location Address
First Line	:	119 LONGWOOD DRIVE
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35801
Country	:	US
Telephone Number	:	256-533-6488
Fax Number	:	256-533-6495

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

Provider Enumeration Date	:	10/19/2005
Last Update Date	:	05/31/2011

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