Individual
RODNEY SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SCCM
Contact information
Practice address
1401 KEMPSVILLE RD STE D, CHESAPEAKE, VA 23320-8316
(757) 366-0708
(757) 366-0709
Mailing address
11800 BARRINGTON HILL CT, RICHMOND, VA 23233-1876
(804) 503-6087
(757) 366-0709
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619399748
—
VA
Enumeration date
10/11/2017
Last updated
10/11/2017
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