Individual
DR. AMY MATHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
LEE ST, CHARLOTTESVILLE, VA 22908-0001
(434) 982-1700
(434) 982-3268
Mailing address
LEE ST, CHARLOTTESVILLE, VA 22908-0001
(434) 982-1700
(434) 982-3268
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
016892
ME
207RI0200X
Infectious Disease Physician
Primary
0101246190
VA
207RI0200X
Infectious Disease Physician
0116018702
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431937599
—
ME
Enumeration date
06/26/2006
Last updated
09/03/2009
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