Individual
DR. AMANDA LARA STOREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4500 MAIN ST, GRANT, AL 35747-8303
(256) 728-8600
(256) 728-8602
Mailing address
PO BOX 11407 DEPT# 0132, BIRMINGHAM, AL 35246-0132
(256) 728-8600
(256) 728-8602
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32410
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000150826
—
AL
01
—
0108154
UNITED HEALTHCARE
—
01
—
1927094
CIGNA
—
01
—
51135954
BLUE CROSS BLUE SHIELD
AL
05
—
5906772
—
NC
01
—
7633871
AETNA
—
01
—
809199
PARTNERS
—
01
—
P00428736
MEDICARE RAILROAD
—
Enumeration date
01/08/2007
Last updated
11/06/2017
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