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Individual

DR. SHAENA BLEVINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
16000 JOHNSTON MEMORIAL DR STE 312, ABINGDON, VA 24211-7664
(276) 258-3733
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
0101272449
VA
2084N0400X
Neurology Physician
Primary
060242
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
212984366A
GA
Enumeration date
01/15/2008
Last updated
02/26/2024
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