Individual
DR. MARYELLA D. SIRMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
124A SOUTH UNIVERSITY BLVD., MOBILE, AL 36608
(251) 343-5004
(251) 343-5136
Mailing address
P.O. BOX 850849, MOBILE, AL 36685-0849
(251) 343-5004
(251) 343-5136
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
04518
AL
207RN0300X
Nephrology Physician
4518
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000060272
—
AL
01
—
51060272
BCBS
AL
Enumeration date
12/15/2005
Last updated
07/23/2010
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