Individual
DR. SALLY MCNEILL EBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1700 4TH AVE N, BESSEMER, AL 35020-4837
(205) 481-8650
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35246-0777
(205) 481-7670
(205) 481-7573
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00020048
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009941423
—
AL
01
—
0111312
MEDICARE COMPLETE
AL
01
—
051005158
BLUE CROSS
AL
01
—
18386
SENIORS FIRST
AL
01
—
G36327
VIVA HEALTH
AL
Enumeration date
09/01/2006
Last updated
05/04/2021
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