Individual
MEGAN BRADY SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12129 GRAHAM MEADOWS DR, RICHMOND, VA 23233
(804) 288-4084
(804) 282-2601
Mailing address
7130 GLEN FOREST DR STE 101, RICHMOND, VA 23226-3754
(804) 662-6138
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
0101264828
VA
207VG0400X
Gynecology Physician
0101264828
VA
Other
Enumeration date
04/22/2011
Last updated
05/08/2024
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