Individual
MR. SHAWNLY HEATH WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SFIDC
Contact information
Practice address
SURFACE WARFARE MEDICAL INSTITUTE - EAST, 459 BELLINGER BLVD, NORFOLK, VA 23511
(757) 322-9298
Mailing address
1424 GUST LN, CHESAPEAKE, VA 23323-2906
(757) 462-7491
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
09/14/2010
Last updated
05/16/2018
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