Amber Christine Hattaway (NPI# 1164949400, PAC ID# 5496014946) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1164949400 |
| PAC ID by PECOS | 5496014946 |
| Professional Enrollment ID | I20180109001854 |
| Full Name | Amber Christine Hattaway |
| Organization Legal Name | DAVIS MEDICAL CLINIC LTD |
| Address |
45020 Hwy 17 Vernon AL 35592-5636 |
| Phone Number | 2056950106 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8729267992 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250004 | NORTH MISSISSIPPI MEDICAL CENTER |
| 010045 | FAYETTE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 45020 Hwy 17, Vernon, AL 35592-5636 | 2056950106 | DAVIS MEDICAL CLINIC LTD |
| Organization Legal Name | DAVIS MEDICAL CLINIC LTD |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert W Davis | Family Medicine | Davis Medical Clinic Ltd | 45020 Hwy 17, Vernon, AL 35592-5636 |
| Street Address |
45020 HWY 17 |
| City | VERNON |
| State | AL |
| Zip | 35592-5636 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert W Davis | Family Medicine | Davis Medical Clinic Ltd | 45020 Hwy 17, Vernon, AL 35592-5636 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Powell Berry | Chiropractic | 47776 Hwy 17, Vernon, AL 35592-4257 | |
| Ashley Lauren Elizabeth Sudduth | Nurse Practitioner | 1050 Convalescent Rd, Vernon, AL 35592-4823 | |
| Jennifer C Josey | Chiropractic | 178 1st Nest, Vernon, AL 35592-5430 | |
| Keith Mccoy | Emergency Medicine | Lamar Medical Clinic LLC | 44946 Hwy 17, Vernon, AL 35592-5630 |
| Crystal A Mccoy | Nurse Practitioner | Lamar Medical Clinic LLC | 44946 Hwy 17, Vernon, AL 35592-5630 |
| James K Richardson | Physical Therapy | 314 Columbus Ave N W, Vernon, AL 35592-5703 | |
| Angela L Carroll Brock | Nurse Practitioner | Northwest Alabama Mental Health Center | 141 2nd Ave Nw, Vernon, AL 35592-5765 |
| City | VERNON |
| Zip Code | 35592 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | VERNON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Amber Christine Hattaway.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.