Individual
AMANDA HARTLESS MCCOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 NORTHRIDGE LN, LEXINGTON, VA 24450-3399
(540) 460-7172
Mailing address
94 BRAE MARIE LN, RAPHINE, VA 24472-2404
(540) 460-7172
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0024190540
VA
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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