Provider Demographics
NPI:1912467309
Name:SYNERGY MEDICAL PARTNERS, LLC
Entity Type:Organization
Organization Name:SYNERGY MEDICAL PARTNERS, LLC
Other - Org Name:SYNERGY WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DAMON
Authorized Official - Middle Name:
Authorized Official - Last Name:FIERRO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-508-5977
Mailing Address - Street 1:7105B BAILEY CREEK CIR SE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35802-2797
Mailing Address - Country:US
Mailing Address - Phone:256-759-9167
Mailing Address - Fax:
Practice Address - Street 1:4820 UNIVERSITY DR NW STE 35
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35816-1824
Practice Address - Country:US
Practice Address - Phone:256-759-9167
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-21
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty