Individual
AMANDA ROGERS MCDOWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1131 BROOK RUN RD, HALIFAX, VA 24558-3088
(434) 222-4504
Mailing address
1131 BROOK RUN RD, HALIFAX, VA 24558-3088
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002380
VA
Other
Enumeration date
07/11/2012
Last updated
12/11/2016
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