Individual
DR. AMY TITUS STUCKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 HOSPITAL DRIVE SE, SUITE 100, HUNTSVILLE, AL 35801
(256) 880-4464
Mailing address
1 HOSPITAL DRIVE SE, SUITE 100, HUNTSVILLE, AL 35801
(256) 880-4464
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21239
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009912868
—
AL
05
—
009912869
—
AL
01
—
051559078
MEDICARE NUMBER
AL
05
—
051559078
—
AL
05
—
1285752600
—
AL
01
—
51540854
BCBS OF ALABAMA
AL
01
—
51541814
BCBS OF ALABAMA
AL
01
—
51546111
BCBS OF ALABAMA
AL
01
—
51546113
BCBS OF ALABAMA
AL
05
—
529500990
—
AL
01
—
H690
MEDICARE
AL
Enumeration date
03/26/2007
Last updated
10/27/2008
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