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NPI Code Detail

MEDICARE: JOANNA G SHUMAN DPM

MEDICARE: JOANNA G SHUMAN DPM
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
1213EP1101XPrimary Podiatric Medicine Podiatrist0103300920VA
2213ER0200XRadiology Podiatrist0103300920VA
3213E00000XPodiatrist0103300920VA

General Provider Information

NPI Number : 1407829328
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANNA G SHUMAN DPM
Provider Business Mailing Address
First Line : 21475 RIDGETOP CIR
Second Line : SUITE 210
City : STERLING
State : VA
Zip : 20166-6580
Country : US
Telephone Number : 703-421-1900
Fax Number : 703-433-5006
Provider Business Practice Location Address
First Line : 21475 RIDGETOP CIR
Second Line : SUITE 210
City : STERLING
State : VA
Zip : 20166-6580
Country : US
Telephone Number : 703-421-1900
Fax Number : 703-433-5006
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2006
Last Update Date : 08/22/2017

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Directions to “ JOANNA G SHUMAN DPM” Practice Location

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