IndividualActive
Amanda Mcannally, ATC
NPI 1104947712 · Sports Medicine (Orthopaedic Surgery) Physician · Birmingham, AL
Provider details
- NPI number
- 1104947712
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- No
- License
- 940 (AL)
Practice location
805 Saint Vincents Dr
Suite 100
Birmingham, AL 35205-1636
Phone: (205) 939-3699
Fax: (205) 581-7155
Mailing address
805 Saint Vincents Dr
Birmingham, AL 35205-1636
Registry dates
- Enumerated
- 2007-04-02
- Last updated
- 2011-02-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.