Healthcare Provider Details

I. General information

NPI: 1528564424
Provider Name (Legal Business Name): YELIZAVETA AGAYEVA HAMRICK DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LIZA AGAYEVA

II. Dates (important events)

Enumeration Date: 04/01/2018
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1613 N MCKENZIE ST
FOLEY AL
36535
US

IV. Provider business mailing address

1851 N MCKENZIE ST STE 101
FOLEY AL
36535-4703
US

V. Phone/Fax

Practice location:
  • Phone: 251-424-1288
  • Fax:
Mailing address:
  • Phone: 251-424-1232
  • Fax: 251-424-1954

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDO.2037
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: