Amy Traylor | |
55 Garden Ln Haleyville AL 35565-5982 | |
(256) 749-1739 | |
Not Available |
Full Name | Amy Traylor |
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Speciality | Family Medicine |
Location | 55 Garden Ln, Haleyville, Alabama |
Authorized Official Name and Position | Amy Traylor (MD/ OWNER) |
Authorized Official Contact | 2567491739 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Amy Traylor 55 Garden Ln Haleyville AL 35565-5982 Ph: () - | Amy Traylor 55 Garden Ln Haleyville AL 35565-5982 Ph: (256) 749-1739 |
NPI Number | 1639824196 |
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Provider Enumeration Date | 02/14/2022 |
Last Update Date | 02/14/2022 |
Medicare PECOS PAC ID | 7517353055 |
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Medicare Enrollment ID | O20220408000959 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639824196 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Amy M Traylor |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972000149 PECOS PAC ID: 5890050447 Enrollment ID: I20210706003625 |
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