Provider Demographics
NPI:1669459186
Name:RAMSAK, AMY K (MD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:K
Last Name:RAMSAK
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2550 FLOWOOD DR STE 402
Mailing Address - Street 2:
Mailing Address - City:FLOWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:39232-9307
Mailing Address - Country:US
Mailing Address - Phone:601-376-2832
Mailing Address - Fax:601-936-1260
Practice Address - Street 1:150 REYNOIR ST
Practice Address - Street 2:
Practice Address - City:BILOXI
Practice Address - State:MS
Practice Address - Zip Code:39530-4130
Practice Address - Country:US
Practice Address - Phone:828-693-4431
Practice Address - Fax:601-936-1260
Is Sole Proprietor?:No
Enumeration Date:2005-12-27
Last Update Date:2018-10-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MS15779207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS09015968Medicaid
MSC02759Medicare ID - Type Unspecified
MS09015968Medicaid