Individual
DR. SHAWNA JANE PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA 23601-1929
(757) 612-8154
(757) 594-2196
Mailing address
856 J CLYDE MORRIS BLVD STE A, NEWPORT NEWS, VA 23601-1318
(757) 316-5800
(757) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101243586
VA
207P00000X
Emergency Medicine Physician
ME60708
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000645455A
—
GA
05
—
3741753-01
—
FL
01
—
930028199
RAILROAD MEDICARE
FL
Enumeration date
01/28/2006
Last updated
05/24/2022
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