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NPI Code Detail

MEDICARE: EMILY SPAIN IRELAND DO

MEDICARE: EMILY SPAIN IRELAND DO
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
1208000000XPediatrics PhysicianDO.4150AL

General Provider Information

NPI Number : 1821728312
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY SPAIN IRELAND DO
Provider Business Mailing Address
First Line : 2401 VILLAGE PROFESSIONAL DR S
Second Line :
City : OPELIKA
State : AL
Zip : 36801-4702
Country : US
Telephone Number : 334-749-8121
Fax Number : 334-749-6166
Provider Business Practice Location Address
First Line : 2401 VILLAGE PROFESSIONAL DR S
Second Line :
City : OPELIKA
State : AL
Zip : 36801-4702
Country : US
Telephone Number : 334-749-8121
Fax Number : 334-749-6166
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2022
Last Update Date : 12/24/2025

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Directions to “ EMILY SPAIN IRELAND DO” Practice Location

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