Basic Information
| Provider Information | |||||||||
| NPI: | 1669459186 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RAMSAK | ||||||||
| FirstName: | AMY | ||||||||
| MiddleName: | K | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2550 FLOWOOD DR STE 402 | ||||||||
| Address2: | |||||||||
| City: | FLOWOOD | ||||||||
| State: | MS | ||||||||
| PostalCode: | 392329307 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6013762832 | ||||||||
| FaxNumber: | 6019361260 | ||||||||
| Practice Location | |||||||||
| Address1: | 150 REYNOIR ST | ||||||||
| Address2: | |||||||||
| City: | BILOXI | ||||||||
| State: | MS | ||||||||
| PostalCode: | 395304130 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8286934431 | ||||||||
| FaxNumber: | 6019361260 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/27/2005 | ||||||||
| LastUpdateDate: | 10/10/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 15779 | MS | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.