Individual
SHANNON DAYE FARAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
60 PROSPERITY LN, STAFFORD, VA 22556-4605
(540) 658-2811
(540) 658-2812
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
(804) 217-7991
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101248608
VA
Other
Enumeration date
08/27/2007
Last updated
03/29/2018
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