Provider Demographics
NPI:1366612053
Name:SCALISE, MARGARET MARY (MD)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:MARY
Last Name:SCALISE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:519 ENERGY CENTER BLVD STE 1103
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:AL
Mailing Address - Zip Code:35473-5819
Mailing Address - Country:US
Mailing Address - Phone:205-345-5885
Mailing Address - Fax:205-345-5884
Practice Address - Street 1:519 ENERGY CENTER BLVD STE 1103
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:AL
Practice Address - Zip Code:35473-5819
Practice Address - Country:US
Practice Address - Phone:205-345-5885
Practice Address - Fax:205-345-5884
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-10
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL45112084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry