Provider Demographics
NPI:1063559441
Name:DEVORE, AMY ELIZABETH (MD)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:ELIZABETH
Last Name:DEVORE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:708 S SOUTH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:MOUNT AIRY
Mailing Address - State:NC
Mailing Address - Zip Code:27030-4589
Mailing Address - Country:US
Mailing Address - Phone:336-698-4055
Mailing Address - Fax:336-940-3038
Practice Address - Street 1:708 S SOUTH ST STE 100
Practice Address - Street 2:
Practice Address - City:MOUNT AIRY
Practice Address - State:NC
Practice Address - Zip Code:27030-4589
Practice Address - Country:US
Practice Address - Phone:336-698-4055
Practice Address - Fax:336-940-3038
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2006-00295207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology