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NPI Code Detail

MEDICARE: DR. AMY BAIR MD

MEDICARE: DR. AMY BAIR MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician24306WV
2208600000XSurgery PhysicianME172846FL

General Provider Information

NPI Number : 1285862623
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMY BAIR MD
Provider Business Mailing Address
First Line : 1702 OHIO AVE
Second Line :
City : LYNN HAVEN
State : FL
Zip : 32444-4290
Country : US
Telephone Number : 850-647-8825
Fax Number : 850-248-8825
Provider Business Practice Location Address
First Line : 1702 OHIO AVE
Second Line :
City : LYNN HAVEN
State : FL
Zip : 32444-4290
Country : US
Telephone Number : 850-647-8825
Fax Number : 850-248-8825
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2009
Last Update Date : 03/17/2026

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