Provider Demographics
NPI:1225002546
Name:CEBERT, MARIE C (DO)
Entity Type:Individual
Prefix:DR
First Name:MARIE
Middle Name:C
Last Name:CEBERT
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 29
Mailing Address - Street 2:
Mailing Address - City:HARVEST
Mailing Address - State:AL
Mailing Address - Zip Code:35749-0029
Mailing Address - Country:US
Mailing Address - Phone:256-382-0830
Mailing Address - Fax:256-382-0833
Practice Address - Street 1:7 TOWN CENTER DR
Practice Address - Street 2:SUITE 301
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806-2672
Practice Address - Country:US
Practice Address - Phone:256-382-0830
Practice Address - Fax:256-382-0833
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-14
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALDO-656207Q00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALDO-656OtherAL MEDICAL LICENSE
ALDO-656OtherAL MEDICAL LICENSE
ALH42555Medicare UPIN