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Individual

DR. STACY LYNN SIEGEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3415 INDEPENDENCE DR, SUITE 101, HOMEWOOD, AL 35209-8314
(205) 937-3979
(205) 871-4646
Mailing address
3415 INDEPENDENCE DR, SUITE 101, HOMEWOOD, AL 35209-8314
(205) 937-3979
(833) 310-1011

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
00020740
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51523533
BLUE CROSS OF ALABAMA
AL
Enumeration date
01/13/2006
Last updated
06/03/2021
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