Provider Demographics
NPI:1730329194
Name:AMBERS-DREW, JAKIMA (DPM)
Entity type:Individual
Prefix:DR
First Name:JAKIMA
Middle Name:
Last Name:AMBERS-DREW
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:P.O. BOX 70365
Mailing Address - Street 2:HEALTH SERVICES INC
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36107-0365
Mailing Address - Country:US
Mailing Address - Phone:786-271-5294
Mailing Address - Fax:
Practice Address - Street 1:1000 ADAMS AVE
Practice Address - Street 2:DEPARTMENT OF PODIATRIC MEDICINE AND SURGERY
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36104-4424
Practice Address - Country:US
Practice Address - Phone:334-420-5001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-25
Last Update Date:2011-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL304213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery