Individual
SHANA ALLIE VORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(855) 446-5937
(740) 446-5711
Mailing address
100 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5000
(740) 446-5711
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
26238
WV
208000000X
Pediatrics Physician
Primary
35090525
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2776474
—
OH
05
—
3810027160
—
WV
Enumeration date
06/11/2007
Last updated
09/13/2022
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