Individual
MAVIS A AGYEIWAAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1440 AMHERST ST, WINCHESTER, VA 22601-3010
(540) 536-5400
(540) 536-5490
Mailing address
5060 VALLEY VIEW BLVD NW, ROANOKE, VA 24012-2038
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101256459
VA
207Q00000X
Family Medicine Physician
267-601-1
NY
Other
Enumeration date
05/26/2014
Last updated
07/23/2024
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