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NPI Code Detail

MEDICARE: DR. AMANDA NICOLE HOPKINS M.D.

MEDICARE: DR. AMANDA NICOLE HOPKINS 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
1207LC0200XCritical Care Medicine (Anesthesiology) PhysicianMD.38349AL

General Provider Information

NPI Number : 1962821108
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMANDA NICOLE HOPKINS M.D.
Provider Business Mailing Address
First Line : 3104 BLUE LAKE DR STE 110
Second Line :
City : VESTAVIA
State : AL
Zip : 35243-2372
Country : US
Telephone Number : 205-977-1949
Fax Number : 205-977-1933
Provider Business Practice Location Address
First Line : 3104 BLUE LAKE DR STE 110
Second Line :
City : VESTAVIA
State : AL
Zip : 35243-2372
Country : US
Telephone Number : 205-977-1949
Fax Number : 205-977-1933
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2014
Last Update Date : 06/20/2019

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