Wilcox, Amanda

Wilcox, Amanda is an sole proprietor health care provider with primary practice located at 1805 Station Dr , Prattville AL 36066-5667. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Wilcox, Amanda can be contacted via phone (334) 730-0880.

Contact Information

Primary practice address
1805 Station Dr Prattville AL 36066-5667
Fax: (334) 730-0877
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X L.3014R Alabama

Profile Details

NPI number 1669763868
LBN Legal business name Wilcox, Amanda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 22nd, 2011
Last updated Sep 4th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669763868 NPPES
Alabama MEDICAID 166454

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