Individual
TIMOTHY R SHOPE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
620 JOHN PAUL JONES CIRCLE, PORTSMOUTH, VA 23708-2197
(757) 953-2946
(757) 953-2063
Mailing address
807 AMBERLINE DR, CHESAPEAKE, VA 23322-7393
(757) 953-2946
(757) 953-2063
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0052748
MD
Other
Enumeration date
02/15/2006
Last updated
07/08/2007
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