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NPI Code Detail

MEDICARE: DR. ALAINA ELIZABETH AMATO MD

MEDICARE: DR. ALAINA ELIZABETH AMATO 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
1207R00000XInternal Medicine Physician26340AL
2208M00000XHospitalist Physician26340AL

General Provider Information

NPI Number : 1790702595
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALAINA ELIZABETH AMATO MD
Provider Business Mailing Address
First Line : 10075 GRAND BAY WILMER RD S
Second Line :
City : GRAND BAY
State : AL
Zip : 36541-5003
Country : US
Telephone Number : 251-865-1852
Fax Number : 251-445-3722
Provider Business Practice Location Address
First Line : 10075 GRAND BAY WILMER RD S
Second Line :
City : GRAND BAY
State : AL
Zip : 36541-5003
Country : US
Telephone Number : 251-865-1852
Fax Number : 251-445-3722
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2006
Last Update Date : 05/04/2015

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