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Individual
SHANNON NICOLE THOMPSON
Active
Individual
SHANNON NICOLE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101265602
VA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
T1584
TX
208D00000X
General Practice Physician
0101265602
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/10/2017
Last updated
07/19/2022
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