Provider Demographics
NPI:1093725517
Name:MACKEY, STEVEN LYNN (MD)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:LYNN
Last Name:MACKEY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:125 ALISON DRIVE
Mailing Address - Street 2:SUITE 8
Mailing Address - City:ALEXANDER CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35010-3393
Mailing Address - Country:US
Mailing Address - Phone:256-409-2159
Mailing Address - Fax:256-409-2178
Practice Address - Street 1:125 ALISON DR
Practice Address - Street 2:SUITE 8
Practice Address - City:ALEXANDER CITY
Practice Address - State:AL
Practice Address - Zip Code:35010-4469
Practice Address - Country:US
Practice Address - Phone:256-409-2159
Practice Address - Fax:256-409-2178
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2011-05-11
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Provider Licenses
StateLicense IDTaxonomies
AL14427207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL0731200138OtherCIGNA
AL51077823OtherBLUE CROSS
AL0005960521OtherAETNA
AL009944190Medicaid
AL009944200Medicaid
AL009944180Medicaid
AL000038661Medicaid
AL51038661OtherBLUE CROSS
AL070011988OtherRAILROAD MEDICARE
AL009967895Medicaid
AL51077824OtherBLUE CROSS
AL51099938OtherBLUE CROSS
AL51523073OtherBLUE CROSS
AL51523073OtherBLUE CROSS
AL51099938OtherBLUE CROSS