MEDICARE: DANIEL MEJER 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	2084P0800X	Psychiatry Physician	20646	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
2	20646	OTHER	AL	MEDICAL LICENSE

General Provider Information

NPI Number	:	1710988720
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL MEJER M.D.

Provider Business Mailing Address
First Line	:	3001 SCENIC HWY
Second Line	:
City	:	GADSDEN
State	:	AL
Zip	:	35904-3047
Country	:	US
Telephone Number	:	256-546-9265
Fax Number	:	256-549-0376

Provider Business Practice Location Address
First Line	:	2202A GATEWAY DRIVE
Second Line	:
City	:	OPELIKA
State	:	AL
Zip	:	36801-6870
Country	:	US
Telephone Number	:	256-546-9265
Fax Number	:	256-549-0376

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

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	03/07/2023

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