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Individual

AMY D RAPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
2065 E SOUTH BLVD, SUITE 204, MONTGOMERY, AL 36116-2458
(334) 281-6990
(334) 281-9725
Mailing address
2065 E SOUTH BLVD STE 204, MONTGOMERY, AL 36116-2460
(334) 747-7300
(334) 747-7320

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA120
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
WY000038256
AL
Enumeration date
09/05/2006
Last updated
01/11/2023
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