Provider Demographics
NPI:1588640536
Name:SOVIC, MARION (MD)
Entity Type:Individual
Prefix:DR
First Name:MARION
Middle Name:
Last Name:SOVIC
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:2270 VALLEYDALE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-2101
Mailing Address - Country:US
Mailing Address - Phone:205-682-6056
Mailing Address - Fax:205-682-6057
Practice Address - Street 1:513 BROOKWOOD BLVD STE 101
Practice Address - Street 2:
Practice Address - City:HOMEWOOD
Practice Address - State:AL
Practice Address - Zip Code:35209-6878
Practice Address - Country:US
Practice Address - Phone:205-682-6056
Practice Address - Fax:205-682-6057
Is Sole Proprietor?:No
Enumeration Date:2005-12-21
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL19417207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009906225Medicaid
AL000034779Medicaid
ALF85997Medicare UPIN
AL000034779Medicaid