Individual
DR. AMANDA K OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1950 GLENN MITCHELL DRIVE, STE 304, VIRGINIA BEACH, VA 23456
(757) 507-0255
(757) 275-9880
Mailing address
1950 GLENN MITCHELL DR, STE 304, VIRGINIA BEACH, VA 23456-0019
(757) 507-0255
(757) 275-9880
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101236415
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010077486
—
VA
Enumeration date
02/21/2006
Last updated
02/15/2012
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