Doctor Name: | DR. AMANDA SIMMONS DUTY |
NPI Number: | 1023359940 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | O.D. |
License Number: | |
Business Practice Address: | 300 Twining St Bldg 760 Montgomery, AL - 361126027 |
Business Phone Number: | 3359539748 |
Business Fax Number: | 3349538706 |
Mailing Address: | 300 Twining St Bldg 760, MONTGOMERY |
State: | AL |
Postal Code: | 361126027 |
Phone Number: | 3349539748 |
Fax Number: | 3349538706 |
NPI Enumeration Date: | 03/04/2013 |
NPI Last Update Date: | 08/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |