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Individual

SHANNON FINCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M D

Contact information

Practice address
1318 EUCLID AVE, SUITE 2-3, BRISTOL, VA 24201-3830
(276) 466-0744
Mailing address
1318 EUCLID AVE, SUITE 2-3, BRISTOL, VA 24201-3830
(276) 466-0744
(276) 466-1628

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101223610
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3865253
TN
05
5605784
VA
Enumeration date
06/09/2005
Last updated
12/06/2012
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