Individual
SHANEL MARTINE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9294 WARWICK BLVD, NEWPORT NEWS, VA 23607-1535
(757) 223-7013
Mailing address
9294 WARWICK BLVD, NEWPORT NEWS, VA 23607-1535
(757) 223-7013
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101271884
VA
208000000X
Pediatrics Physician
Q9256
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2013
Last updated
08/15/2024
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