Individual
DR. AMANDA LINDSLEY WELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-3318
Mailing address
3160 ADAM KEELING RD, VIRGINIA BEACH, VA 23454-1004
(214) 490-9875
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
101256392
VA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
2019-02852
NC
Other
Enumeration date
05/31/2008
Last updated
10/30/2023
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