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NPI Code Detail

MEDICARE: SHANNON FINCH M D

MEDICARE:   SHANNON  FINCH  M D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician0101223610VA

Other Identifiers

General Provider Information

NPI Number : 1235133018
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANNON FINCH M D
Provider Business Mailing Address
First Line : 1318 EUCLID AVE
Second Line : SUITE 2-3
City : BRISTOL
State : VA
Zip : 24201-3830
Country : US
Telephone Number : 276-466-0744
Fax Number : 276-466-1628
Provider Business Practice Location Address
First Line : 1318 EUCLID AVE
Second Line : SUITE 2-3
City : BRISTOL
State : VA
Zip : 24201-3830
Country : US
Telephone Number : 276-466-0744
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 12/06/2012

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Directions to “ SHANNON FINCH M D” Practice Location

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