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Individual

AMANDA MUMFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2415 HELTON DRIVE, FLORENCE, AL 35630
(256) 765-2230
(256) 765-2084
Mailing address
2868 ACTON ROAD, BIRMINGHAM, AL 35243
(205) 968-8360
(205) 968-8373

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
21327
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
051511393
AL
01
51511393
BCBS
AL
Enumeration date
05/25/2006
Last updated
03/17/2015
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