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Amanda Martin

NPI 1235176850 · on the registry since 2006

Practice

Address
1900 Colley Ave
Norfolk, VA 23517
Phone
(757) 622-5595
Fax
(757) 622-2517
Organisation at this address
Pegram & Cornetta P L C
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
152WC0802X
152WC0802X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-10-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia