Individual
JEREMY W AMPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6701 AIRPORT BLVD, SUITE D146, MOBILE, AL 36608
(251) 633-5155
(251) 633-5125
Mailing address
6701 AIRPORT BLVD, SUITE D146, MOBILE, AL 36608
(251) 633-5155
(251) 633-5125
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
35086921
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2679481
—
OH
01
—
515-43364
BLUE CROSS BLUE SHIELD
AL
Enumeration date
09/13/2006
Last updated
11/19/2009
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