Individual
CHARLES P SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1602 SKIPWITH RD, RICHMOND, VA 23229-5205
(804) 289-4500
Mailing address
PO BOX 17643, BALTIMORE, MD 21297-1643
(866) 916-5259
(231) 922-4030
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101037308
VA
Other
Enumeration date
07/17/2006
Last updated
02/19/2008
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