Individual
SHANE MUSGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1870 AMHERST ST STE C, WINCHESTER, VA 22601-2841
(540) 536-6721
(540) 536-6724
Mailing address
220 CAMPUS BLVD STE 320, WINCHESTER, VA 22601-2889
(540) 536-5100
(540) 536-0235
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110010591
VA
363A00000X
Physician Assistant
4759
CO
363A00000X
Physician Assistant
PA-1610
ID
Other
Enumeration date
06/13/2016
Last updated
03/31/2025
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