Healthcare Provider Details

I. General information

NPI: 1306415807
Provider Name (Legal Business Name): AMANDA MEIER DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2021
Last Update Date: 07/03/2024
Certification Date: 07/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2270 HILLCREST RD
MOBILE AL
36695-3808
US

IV. Provider business mailing address

PO BOX 21595
BELFAST ME
04915-4112
US

V. Phone/Fax

Practice location:
  • Phone: 251-666-2213
  • Fax: 251-660-8037
Mailing address:
  • Phone: 251-300-5941
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number11021923A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDO.3683
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: