Organization
FUNCTIONAL MEDICINE OF ALABAMA, PC
Active
Other names
Harpersville Family Medicine, PC
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAN LEIGH ST. PETERY DO (PHYSICIAN/OWNER)
(205) 593-4200
Entity
Organization
Contact information
Practice address
2228 CAHABA VALLEY DR, BIRMINGHAM, AL 35242
(205) 593-4200
(205) 672-1009
Mailing address
2228 CAHABA VALLEY DR, BIRMINGHAM, AL 35242
(205) 593-4200
(205) 672-1009
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO-797
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-27516
BCBS
AL
01
—
K374
MEDICARE GROUP #
AL
Enumeration date
04/17/2007
Last updated
02/15/2019
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