Provider Demographics
NPI:1982865820
Name:O'NEIL, MARY EVELYN MONTGOMERY (MD)
Entity type:Individual
Prefix:DR
First Name:MARY EVELYN
Middle Name:MONTGOMERY
Last Name:O'NEIL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2815 INDEPENDENCE DR
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-4178
Mailing Address - Country:US
Mailing Address - Phone:205-879-7888
Mailing Address - Fax:205-879-6822
Practice Address - Street 1:2815 INDEPENDENCE DR
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-4178
Practice Address - Country:US
Practice Address - Phone:205-879-7888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-23
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL51199290208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL093996400OtherAETNA
AL511-99290OtherBLUE CROSS BLUE SHIELD OF ALABAMA
AL1982865820OtherCIGNA