Individual
DR. AMOS J WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
112 WEST WOODHILL DRIVE, NAGS HEAD, NC 27959-2795
(252) 261-8778
(252) 715-3446
Mailing address
PO BOX 328, NAGS HEAD, NC 27959-0328
(252) 489-5829
(252) 376-1163
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
01010249
VA
207W00000X
Ophthalmology Physician
Primary
2015-00049
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006352278
—
VA
Enumeration date
06/13/2005
Last updated
03/16/2020
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