Individual
AMELIA MAULDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
29869 CAPSHAW RD, HARVEST, AL 35749-7483
(256) 262-1040
Mailing address
928 MERIDIANVILLE BOTTOM RD, MERIDIANVILLE, AL 35759-2273
(843) 226-2368
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0000002954
TN
Other
Enumeration date
02/29/2016
Last updated
12/16/2021
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