Individual
DR. BARRY MICHAEL SHMOOKLER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3600 JOSEPH SIEWICK DR, FAIRFAX, VA 22033-1709
(703) 391-3654
(703) 391-3049
Mailing address
753 JOHNNIE DODDS BLVD, MT PLEASANT, SC 29464-3054
(843) 284-3400
(843) 284-3401
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
D0021961
MD
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
D0021961
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D0021961
MD MEDICAL LICENSE #
MD
01
—
MD13872
DC MEDICAL LICENSE #
DC
Enumeration date
05/26/2006
Last updated
09/11/2025
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