Provider Demographics
NPI:1427020171
Name:GIAMMANCO, NATALIE JOSEPHINE (DPM)
Entity Type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:JOSEPHINE
Last Name:GIAMMANCO
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 SAINT VINCENTS DR
Mailing Address - Street 2:SUITE 420
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-1636
Mailing Address - Country:US
Mailing Address - Phone:205-324-8511
Mailing Address - Fax:205-314-8551
Practice Address - Street 1:1985 AL HIGHWAY 157
Practice Address - Street 2:SUITE A
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35058-0692
Practice Address - Country:US
Practice Address - Phone:256-739-1912
Practice Address - Fax:205-314-8551
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL219213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009999840Medicaid
AL051552234Medicare ID - Type UnspecifiedPROVIDER NUMBER
ALU72455Medicare UPIN
AL009999840Medicaid