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NPI Code Detail

MEDICARE: MEGHAN KAY MCPHEETERS BLACK MD

MEDICARE:   MEGHAN KAY MCPHEETERS BLACK  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
1207R00000XInternal Medicine Physician2016-00699NC
2208M00000XHospitalist Physician2016-00699NC
3208M00000XHospitalist PhysicianMD.37133AL
4207R00000XInternal Medicine PhysicianMD.37133AL

General Provider Information

NPI Number : 1932547148
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGHAN KAY MCPHEETERS BLACK MD
Provider Business Mailing Address
First Line : 1720 2ND AVE S # FOT720
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35294-0004
Country : US
Telephone Number : 205-934-3007
Fax Number : 205-975-7797
Provider Business Practice Location Address
First Line : 1720 2ND AVE S # FOT720
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35294-0004
Country : US
Telephone Number : 205-934-3007
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2013
Last Update Date : 02/19/2020

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