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Individual

DR. NADIA C SHOCKLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
12690 MCMANUS BLVD, NEWPORT NEWS, VA 23602-4433
(757) 875-7700
(757) 875-7721
Mailing address
12690 MCMANUS BLVD, NEWPORT NEWS, VA 23602-4433
(757) 875-7700
(757) 875-7721

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101243667
VA
207W00000X
Ophthalmology Physician
28682
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
532631
AZ
Enumeration date
04/25/2006
Last updated
06/09/2009
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