Individual
SHANNON COTHRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2010 CORPORATE RDG STE 510, MC LEAN, VA 22102-7838
(571) 297-4200
(571) 297-4551
Mailing address
2010 CORPORATE RDG, MC LEAN, VA 22102-7853
(571) 297-4200
(571) 297-4200
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
0101243468
VA
207VG0400X
Gynecology Physician
Primary
0101243468
VA
Other
Enumeration date
05/15/2007
Last updated
06/14/2024
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