Individual
DR. AMANDA CAROL MCBANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
27961 US HIGHWAY 98, SUITE 20, DAPHNE, AL 36526-4702
(251) 621-6520
(251) 621-6521
Mailing address
27961 US HIGHWAY 98, SUITE 20, DAPHNE, AL 36526-4702
(251) 621-6520
(251) 621-6521
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME 105944
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009912557
—
AL
05
—
01524881
—
MS
01
—
51544031
BCBS - 1504 SPRINGHILL
AL
Enumeration date
10/17/2006
Last updated
07/18/2011
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