Individual
NORMA P SAMUY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
105 E WATTS ST, ENTERPRISE, AL 36330-2511
(334) 393-5437
(334) 393-4185
Mailing address
1414 ELBA HWY, TROY, AL 36079-6020
(334) 670-6726
(334) 670-6731
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
13678
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051037577
BCBS
AL
05
—
631806011
—
AL
Enumeration date
08/09/2006
Last updated
03/05/2013
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