Individual
SHANNON BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
2323 MEMORIAL AVE, LYNCHBURG, VA 24501-2661
(434) 200-5200
Mailing address
2323 MEMORIAL AVE STE 10, LYNCHBURG, VA 24501-2652
(434) 200-5200
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0000000000
VA
Other
Enumeration date
02/07/2014
Last updated
07/08/2014
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