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Amy Chisom

NPI 1518830074 · on the registry since 2025

Practice

Address
23395 Young Drive
Bristol, VA 24202
Phone
(276) 791-7331

Registry record

Primary taxonomy
163WW0000X
163WW0000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-10-24

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