Individual
DR. AMY MICHELLE MODLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
628 E 12TH ST, WASHINGTON, NC 27889-3409
(252) 975-4100
Mailing address
628 E 12TH ST, WASHINGTON, NC 27889-3409
(252) 975-4100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2020-00964
NC
Other
Enumeration date
06/05/2017
Last updated
01/06/2022
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