Provider Demographics
NPI:1114250420
Name:ARY, MISTY DAWN (MD)
Entity Type:Individual
Prefix:
First Name:MISTY
Middle Name:DAWN
Last Name:ARY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 CORPORATE DR
Mailing Address - Street 2:125
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-2941
Mailing Address - Country:US
Mailing Address - Phone:205-329-7992
Mailing Address - Fax:205-329-7999
Practice Address - Street 1:1200 CORPORATE DR
Practice Address - Street 2:125
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-2941
Practice Address - Country:US
Practice Address - Phone:205-329-7992
Practice Address - Fax:205-329-7999
Is Sole Proprietor?:No
Enumeration Date:2009-09-18
Last Update Date:2013-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD.325462084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry