Provider Demographics
NPI:1700129111
Name:COX, AMANDA PYSHER (MD)
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:PYSHER
Last Name:COX
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:AMANDA
Other - Middle Name:CRISSEY
Other - Last Name:PYSHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:LEWIS-GALE PHYSICIANS, LLC
Mailing Address - Street 2:1802 BRAEBURN DRIVE
Mailing Address - City:SALEM
Mailing Address - State:VA
Mailing Address - Zip Code:24153
Mailing Address - Country:US
Mailing Address - Phone:540-772-3407
Mailing Address - Fax:540-725-5067
Practice Address - Street 1:1802 BRAEBURN DR
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:VA
Practice Address - Zip Code:24153-7357
Practice Address - Country:US
Practice Address - Phone:540-772-3671
Practice Address - Fax:540-725-5067
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-03
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101265064208600000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery