SearchAlabama390200000X

Amy Theriault

NPI 1467781302 · on the registry since 2009

Practice

Address
625 19th Street S
Birmingham, AL 35249
Phone
(502) 656-8067
Clinicians at this address
1,154

Registry record

Primary taxonomy
390200000X
390200000X
Also registered as
104100000X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-03-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alabama