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Individual

DR. GREGORY JOHN O'SHANICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7401 BEAUFONT SPRINGS DR, SUITE 205, NORTH CHESTERFIELD, VA 23225-5504
(804) 272-0114
(804) 272-1125
Mailing address
7401 BEAUFONT SPRINGS DR, SUITE 205, NORTH CHESTERFIELD, VA 23225-5504
(804) 272-0114
(804) 272-1125

Taxonomy

Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
0101036956
VA
2084P0301X
Brain Injury Medicine (Psychiatry & Neurology) Physician
Primary
0101036956
VA
2084P0800X
Psychiatry Physician
0101036956
VA

Other

Enumeration date
06/29/2009
Last updated
03/27/2017
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