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Individual

ALYSON P HUMPHREYS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
128 MEDICAL CIRCLE, WINCHESTER, VA 22601
(540) 667-8975
Mailing address
128 MEDICAL CIRCLE, WINCHESTER, VA 22601
(540) 667-8975

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002016
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010142245
VA
Enumeration date
08/03/2006
Last updated
12/11/2023
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