Individual
DR. SHANNON R GINNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1934 OLD GALLOWS RD, SUITE 500, VIENNA, VA 22182-4042
(703) 677-3200
(703) 677-3201
Mailing address
1934 OLD GALLOWS RD, SUITE 500, VIENNA, VA 22182-4042
(703) 677-3200
(703) 677-3201
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101231928
VA
Other
Enumeration date
01/02/2008
Last updated
09/27/2013
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