Individual
SHANNON N TIERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MS
Contact information
Practice address
70 MEDICAL CENTER CIR STE 107&213, FISHERSVILLE, VA 22939-2273
(540) 245-7705
(540) 245-7710
Mailing address
PO BOX 388, FISHERSVILLE, VA 22939-0388
(540) 932-5162
(540) 932-5875
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101267589
VA
208600000X
Surgery Physician
MD60090634
WA
2086X0206X
Surgical Oncology Physician
249543
NY
390200000X
Student in an Organized Health Care Education/Training Program
0116014011
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003020660
—
VA
Enumeration date
05/10/2007
Last updated
11/13/2023
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