Provider Demographics
NPI:1427233154
Name:GIAMO, PAULA SUE (PA-C)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:SUE
Last Name:GIAMO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2447
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35403-2447
Mailing Address - Country:US
Mailing Address - Phone:205-345-0192
Mailing Address - Fax:205-247-2194
Practice Address - Street 1:305 BRYANT DRIVE E
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35401-2055
Practice Address - Country:US
Practice Address - Phone:205-345-0192
Practice Address - Fax:205-247-2194
Is Sole Proprietor?:No
Enumeration Date:2007-12-31
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL511-15084OtherBCBS OF ALABAMA
AL511-15082OtherBCBS OF ALABAMA
AL511-15085OtherBCBS OF ALABAMA
AL511-15081OtherBCBS OF ALABAMA
AL511-15087OtherBCBS OF ALABAMA
AL511-15090OtherBCBS OF ALABAMA
AL511-15086OtherBCBS OF ALABAMA
AL511-15083OtherBCBS OF ALABAMA
AL102I979807Medicare PIN