Individual
THOMAS W SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
320 HOSPITAL DR, EMERGENCY DEPT., MARTINSVILLE, VA 24112-1900
(276) 666-7200
(276) 666-7600
Mailing address
PO BOX 2080, KILMARNOCK, VA 22482-2080
(804) 435-3508
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101221408
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005827621
—
VA
05
—
790593Q
—
NC
Enumeration date
07/17/2006
Last updated
03/14/2008
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