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Amy Lee Wambolt, MD
Student in an Organized Health Care Education/Training Program in Northport, Alabama
NPI 1316320054

Amy Lee Wambolt is a Student in an Organized Health Care Education/Training Program based in Tuscaloosa, AL. Amy Lee Wambolt practices in Northport, AL and has the professional credentials of MD. The NPI Number for Amy Lee Wambolt is 1316320054 and holds a License No. (Alabama).

The current practice location address for Amy Lee Wambolt is 1325 Mcfarland Blvd, Northport, AL and can be reached out via phone at 205-348-6700 and via fax at 205-348-6112. You can also correspond with Amy Lee Wambolt through the mailing address at 850 PETER BRYCE BLVD, TUSCALOOSA, AL - 35401-7419 (mailing address contact number: 205-348-6700).

Location: 1325 Mcfarland Blvd, Northport, AL, 35401-7419
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316320054
Provider Name
Amy Lee Wambolt
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1325 Mcfarland Blvd, Northport, AL, 35401-7419
Phone Number
205-348-6700
Fax Number
205-348-6112
Provider Enumeration Date
06/30/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1325 Mcfarland Blvd
City
Northport
State
Alabama
Zip
35476-3270
Phone Number
205-348-6700
Fax Number
205-348-6112
person
Provider Business Mailing Address Details
Address
850 Peter Bryce Blvd
City
Tuscaloosa
State
Alabama
Zip
35401-7419
Phone Number
205-348-6700
Fax Number
205-348-6112
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Alabama)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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