Individual
AMANDA TAYLOR MCCOMBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1853 HORSESHOE POINT RD, SUFFOLK, VA 23432-1823
(757) 377-9841
Mailing address
1853 HORSESHOE POINT RD, SUFFOLK, VA 23432-1823
(757) 377-9841
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000038409
22
VA
Enumeration date
06/03/2020
Last updated
06/03/2020
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