Individual
MS. MICHALIA AMONY HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4360 SHORE DR STE 101, VIRGINIA BEACH, VA 23455-2994
(757) 251-0879
Mailing address
4360 SHORE DR STE 101, VIRGINIA BEACH, VA 23455-2994
(757) 251-0879
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
10/13/2019
Last updated
07/11/2024
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