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NPI Code Detail

MEDICARE: AMANDA LAW FOSHEE M.D.

MEDICARE:   AMANDA LAW FOSHEE  M.D.
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207Q00000XFamily Medicine PhysicianMD.32050AL
3207Q00000XFamily Medicine PhysicianL.3474RAL

General Provider Information

NPI Number : 1487945309
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA LAW FOSHEE M.D.
Provider Business Mailing Address
First Line : 309 TAYLOR ST
Second Line :
City : SCOTTSBORO
State : AL
Zip : 35768-2421
Country : US
Telephone Number : 256-259-5313
Fax Number : 256-259-4923
Provider Business Practice Location Address
First Line : 60 MAIN ST N
Second Line :
City : SECTION
State : AL
Zip : 35771-7168
Country : US
Telephone Number : 256-228-3471
Fax Number : 256-228-7289
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2011
Last Update Date : 12/04/2020

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Directions to “ AMANDA LAW FOSHEE M.D.” Practice Location

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