Provider Demographics
NPI:1699331165
Name:ALLDREDGE, AMANDA BETH (MD)
Entity type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:BETH
Last Name:ALLDREDGE
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Gender:F
Credentials:MD
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Mailing Address - Street 1:405 BELCHER ST
Mailing Address - Street 2:
Mailing Address - City:CENTREVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35042-2946
Mailing Address - Country:US
Mailing Address - Phone:205-926-2992
Mailing Address - Fax:205-316-7675
Practice Address - Street 1:9431 AL HIGHWAY 22
Practice Address - Street 2:
Practice Address - City:MAPLESVILLE
Practice Address - State:AL
Practice Address - Zip Code:36750-3264
Practice Address - Country:US
Practice Address - Phone:334-366-4040
Practice Address - Fax:334-366-4262
Is Sole Proprietor?:No
Enumeration Date:2019-05-10
Last Update Date:2022-07-26
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Provider Licenses
StateLicense IDTaxonomies
ALMD.44530207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine