Individual
SHAWN J. PELLETIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 JEFFERSON PARK AVE, CHARLOTTESVILLE, VA 22903-3363
(800) 543-8814
(434) 924-5539
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
0101058572
VA
Other
Enumeration date
09/25/2006
Last updated
08/09/2023
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