Individual
AMY MANNERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
701 WILL HALSEY WAY, MADISON, AL 35758-2592
(256) 461-7440
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5200
(601) 984-2086
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
DO.2285
AL
Other
Enumeration date
03/20/2017
Last updated
07/11/2020
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