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Individual

SHANNON HOLBERTON TOWNSEND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
8262 ATLEE RD, SUITE 202, MECHANICSVILLE, VA 23116-1816
(804) 559-6194
(804) 559-6197
Mailing address
107 WADSWORTH DR, NORTH CHESTERFIELD, VA 23236-4521
(804) 330-4901
(804) 330-9141

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
0010-01912
NC
363AM0700X
Medical Physician Assistant
Primary
0110004546
VA

Other

Enumeration date
08/28/2009
Last updated
01/27/2016
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