Provider Demographics
NPI:1114428422
Name:CROWDER, AMBER LEA (PA-C)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:LEA
Last Name:CROWDER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:985 9TH AVENUE SW
Mailing Address - Street 2:MEDICAL STAFF OFFICE
Mailing Address - City:BESSEMER
Mailing Address - State:AL
Mailing Address - Zip Code:35022-4500
Mailing Address - Country:US
Mailing Address - Phone:205-481-7312
Mailing Address - Fax:205-481-7593
Practice Address - Street 1:3004 ALLISON BONNETT MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:HUEYTOWN
Practice Address - State:AL
Practice Address - Zip Code:35023-2317
Practice Address - Country:US
Practice Address - Phone:205-491-3299
Practice Address - Fax:205-744-8761
Is Sole Proprietor?:No
Enumeration Date:2018-02-22
Last Update Date:2021-07-30
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical