Individual
MRS. CHRISTINE BROWN SHEVOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5839 HARBOUR VIEW BLVD STE 200, SUFFOLK, VA 23435-3315
(757) 483-6100
Mailing address
5839 HARBOUR VIEW BLVD, SUITE 200, SUFFOLK, VA 23435-3743
(757) 483-6100
(757) 483-2203
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-005818
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110-005818
VIRGINIA BOARD OF MEDICINE
VA
01
—
1143083
NCCPA
—
Enumeration date
06/27/2017
Last updated
12/05/2019
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