Individual
MS. SHAWNA MARIE MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
701N CLAYTON ST, WILMINGTON, DE 19805-3165
(302) 421-4100
(302) 575-8155
Mailing address
701N CLAYTON ST, WILMINGTON, DE 19805-3165
(302) 421-4100
(302) 575-8155
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C5-0000980
DE
363A00000X
Physician Assistant
MA056360
PA
Other
Enumeration date
09/09/2013
Last updated
07/02/2021
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