Provider Demographics
NPI:1750530341
Name:MICHAEL SESAY MD, LLC
Entity type:Organization
Organization Name:MICHAEL SESAY MD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:SESAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-237-1535
Mailing Address - Street 1:217 E 7TH ST
Mailing Address - Street 2:
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36207-5725
Mailing Address - Country:US
Mailing Address - Phone:256-237-1535
Mailing Address - Fax:
Practice Address - Street 1:217 E 7TH ST
Practice Address - Street 2:
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36207-5725
Practice Address - Country:US
Practice Address - Phone:256-237-1535
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-18
Last Update Date:2012-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL28353261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care