Individual
AMANDA DILLON DENHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35249-8718
(205) 934-4011
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
29232
AL
208M00000X
Hospitalist Physician
29232
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102I292869
MEDICAER PTAN
AL
05
—
148703
—
AL
01
—
511-36086
BCBS
AL
Enumeration date
06/06/2007
Last updated
06/29/2023
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