Amanda M Mcannally in Birmingham - Sports Medicine
Amanda M Mcannally - NPI 1104947712
Amanda M Mcannally is a Sports Medicine in Birmingham, Alabama. Amanda M Mcannally practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Amanda M Mcannally is 1104947712. The last update date is 2011-02-16.
Amanda M Mcannally's current location address is 805 Saint Vincents Dr, Birmingham, Alabama. You can contact this provider via phone number 2059393699 and fax number 2055817155. The mailing address for Amanda M Mcannally is 805 Saint Vincents Dr, Birmingham, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amanda M Mcannally |
|---|---|
| Address | 805 Saint Vincents Dr, Birmingham, Alabama |
| Phone Number | 2059393699 |
| Fax Number | 2055817155 |
| Sole Proprietor | N |
| Credentials | ATC |
NPI Number Detail
| NPI Number | 1104947712 |
|---|---|
| Provider Enumeration Date | 2007-04-02 |
| Last Updated Date | 2011-02-16 |
Provider Mailing Address Detail
| Address | 805 Saint Vincents Dr |
|---|---|
| City | Birmingham |
| State | Alabama (AL) |
| Post Code | 352051636 |
| Phone Number | 2059393699 |
| Fax Number | 2055817155 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | 940 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 51545918 | AL | BLUE CROSS BLUE SHIELD | |
| 940 | AL | NATABOC |
Post Comment/ Review Below
What is the Amanda M Mcannally's unique identification number?
The Amanda M Mcannally has been assigned the NPI (National Provider Identifier) Number 1104947712 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Amanda M Mcannally's physical address?
The Amanda M Mcannally is physically located at 805 Saint Vincents Dr, in the city of Birmingham, AL, with the postal code 352051636.
What is Amanda M Mcannally's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Amanda M Mcannally's specialized field of practice is Sports Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Xx0005X.
When was the Amanda M Mcannally's 1104947712 issued?
The Amanda M Mcannally's 1104947712 was issued on 2007-04-02.
When was the information related to Amanda M Mcannally most recently updated or refreshed?
The details pertaining to the Amanda M Mcannally, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-02-16.