Individual
SHARON MARIE MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
700 24TH ST, FORT LEE, VA 23801-1716
(804) 734-9226
Mailing address
6110 DUCK COVE RD, MIDLOTHIAN, VA 23112-2235
(301) 814-7777
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C02324
MD
363AM0700X
Medical Physician Assistant
Primary
0110003548
VA
Other
Enumeration date
05/03/2006
Last updated
03/08/2023
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