Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | 219 | AL |
NPI | 1427020171 |
---|---|
Provider Name | Dr. Natalie Josephine Giammanco |
First Address | Birmingham, AL 35205-1636 |
Second Address | Cullman, AL 35058-0692 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2006 |
Last Update Date | 17/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009999840 | (05) | AL |
U72455 | (02) | AL |