Individual
DR. AMANDA WILCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
719 DETROIT AVE, DANVILLE, AR 72833-9607
(479) 495-2241
Mailing address
719 DETROIT AVE, DANVILLE, AR 72833-9607
(479) 495-2241
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31059
AL
207Q00000X
Family Medicine Physician
E20073
AR
207Q00000X
Family Medicine Physician
Primary
L.3014R
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166454
—
AL
Enumeration date
04/22/2011
Last updated
01/15/2026
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