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Individual

SHANNON LEIGH COMPTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
5076 S. AMHERST HWY, MADISON HEIGHTS, VA 24572-1000
(434) 846-7822
(434) 846-8107
Mailing address
PO BOX 1000, MADISON HEIGHTS, VA 24572-1000
(434) 846-7822
(434) 846-8107

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000029
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009234357
VA
Enumeration date
08/03/2006
Last updated
07/07/2011
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