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Individual

AMANDA MICHELE WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1007 GOODYEAR AVE, GADSDEN, AL 35903-1100
(256) 494-4000
Mailing address
205 OWENS DR, GADSDEN, AL 35904-7161
(256) 717-7175

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-155376
AL

Other

Enumeration date
09/19/2022
Last updated
08/15/2024
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