Alice Innis, PA-C
NPI #1093574626 in Prince George, Virginia
Provider Information
- NPI Number
- 1093574626
- Entity Type
- Individual
- Name
- Alice Innis, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Mar 18, 2024
- Last Updated
- Nov 20, 2025
Practice Location
- Address
- 4710 PUDDLEDOCK RD STE 100
- City
- Prince George
- State
- Virginia
- ZIP Code
- 23875-1269
- Phone
- (804) 732-0095
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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