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Individual

DR. AMANDA ROSE SOUTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
118 W MARKET ST, ATHENS, AL 35611-2656
(256) 867-1964
Mailing address
112 BLANCA DR, HARVEST, AL 35749-9668
(256) 417-7074

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15046
AL

Other

Enumeration date
05/21/2007
Last updated
05/05/2014
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