Individual
CARRIE ANNE SHAWKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3600 W BROAD ST UNIT 632, RICHMOND, VA 23230-4941
(703) 509-5103
Mailing address
3600 W BROAD ST UNIT 632, RICHMOND, VA 23230-4941
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/04/2021
Last updated
02/04/2021
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