Dr. Amos J Willis, M.D.
Ophthalmology in Nags Head, NC. Individual provider (NPI-1).
NPI number1528062015
StatusActive
Last updated in NPPESMar 16, 2020
Details
- NPI
- 1528062015
- Entity type
- Individual (NPI-1)
- Name
- Dr. Amos J Willis
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 13, 2005
- Certification date
- Mar 16, 2020
- Last updated
- Mar 16, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | 2015-00049 | NC | Yes |
| 207W00000X | Ophthalmology | 01010249 | VA |
Practice location
112 West Woodhill DriveNags Head, NC 27959-2795
Phone 252-261-8778 · Fax 252-715-3446
Mailing address
Po Box 328Nags Head, NC 27959-0328
Phone 252-489-5829 · Fax 252-376-1163
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