Provider Demographics
NPI:1023065687
Name:GUARISCO, MARGARET C (MD)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:C
Last Name:GUARISCO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 MCFARLAND CIR N
Mailing Address - Street 2:SUITE 100
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35406-1800
Mailing Address - Country:US
Mailing Address - Phone:205-345-7000
Mailing Address - Fax:205-343-0910
Practice Address - Street 1:208 MCFARLAND CIR N
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35406-1800
Practice Address - Country:US
Practice Address - Phone:205-345-7000
Practice Address - Fax:205-343-0910
Is Sole Proprietor?:No
Enumeration Date:2006-05-28
Last Update Date:2021-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL184492085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009991450Medicaid
AL009991410Medicaid
AL009992480Medicaid
AL000076319Medicaid
AL009991480Medicaid
AL009991400Medicaid
AL009991470Medicaid
AL009991510Medicaid
AL009991520Medicaid
AL009991460Medicaid
AL009991500Medicaid
AL009991420Medicaid
AL009991430Medicaid
AL009991490Medicaid
AL009991450Medicaid
AL009991500Medicaid
AL009991460Medicaid