Provider Demographics
NPI:1922186873
Name:ZIMMERMAN, CHERYL A (MD)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:A
Last Name:ZIMMERMAN
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 1:301 BROWN SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-7005
Mailing Address - Country:US
Mailing Address - Phone:334-747-4159
Mailing Address - Fax:
Practice Address - Street 1:2455 BELL RD
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-4336
Practice Address - Country:US
Practice Address - Phone:334-747-8970
Practice Address - Fax:334-747-8980
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL24720207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL201610Medicaid
4722265OtherCIGNA
AL511-93901OtherBCBS OF ALABAMA
AL009961175Medicaid
AL051523356OtherBCBS
AL202000Medicaid
AL511-93900OtherBCBS OF ALABAMA
H64735OtherVIVA HEALTH
AL102I168907OtherMEDICARE
AL511-93899OtherBCBS OF ALABAMA
P01873134OtherRR MEDICARE
AL511-93899OtherBCBS OF ALABAMA