Provider Demographics
NPI:1386776359
Name:HUEY, REBECCA DAILEY (MD)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:DAILEY
Last Name:HUEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:REBECCA
Other - Middle Name:
Other - Last Name:DAILEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1538 HUFFMAN RD
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35215-5621
Mailing Address - Country:US
Mailing Address - Phone:205-853-0722
Mailing Address - Fax:205-854-3960
Practice Address - Street 1:1538 HUFFMAN RD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35215-5621
Practice Address - Country:US
Practice Address - Phone:205-853-0722
Practice Address - Fax:205-854-3960
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4067207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALC78738Medicare UPIN