Provider Demographics
NPI:1962667238
Name:CHERRY, MEGAN SEIBERT (MD)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:SEIBERT
Last Name:CHERRY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:DANIELLE
Other - Last Name:SEIBERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1651 INDEPENDENCE CT STE 125
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-4179
Mailing Address - Country:US
Mailing Address - Phone:205-580-1500
Mailing Address - Fax:205-877-9775
Practice Address - Street 1:1651 INDEPENDENCE CT STE 211
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-4179
Practice Address - Country:US
Practice Address - Phone:205-580-1500
Practice Address - Fax:205-844-3399
Is Sole Proprietor?:No
Enumeration Date:2008-07-25
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
AL29654174400000X
ALMD.29654207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No174400000XOther Service ProvidersSpecialist