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Individual

MRS. AMANDA HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
516 QUINTARD AVE, ANNISTON, AL 36201-5711
(256) 741-9799
Mailing address
516 QUINTARD AVE, ANNISTON, AL 36201-5711
(256) 741-9799

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1-120197
AL

Other

Enumeration date
03/23/2016
Last updated
02/12/2017
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