Individual
AMANDA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1931 CENTRAL PKWY SW STE S, DECATUR, AL 35601-6851
(256) 309-0454
Mailing address
1931 CENTRAL PKWY SW STE S, DECATUR, AL 35601-6851
(256) 309-0454
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2620
AL
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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