Search › Virginia › 363LF0000X
Shannon Fullen-Roberts
NPI 1245645118 · on the registry since 2014
Practice
- Address
- 16000 Johnston Memorial Dr
Suite 212a
Abingdon, VA 24211 - Phone
- (276) 258-3740
- Fax
- (276) 258-3745
- Organisation at this address
- Campbell Clinic Pc
Johnston Memorial Hospital
Johnston Memorial Hospital
Abingdon Physician Partners
Abingdon Physician PartnersInferred from a shared address, not stated in the registry. - Clinicians at this address
- 196
Additional practice sites
- 2202 N John B Dennis Hwy Ste 110, Kingsport, TN
- 98 15th St Nw Ste 207, Norton, VA
- 2000 Brookside Dr, Kingsport, TN
- 1 Medical Park Blvd Ste 210e, Bristol, TN
- 130 W Ravine Rd, Kingsport, TN
- 1 Medical Park Blvd Ste 3w, Bristol, TN
- 1 Medical Park Blvd, Bristol, TN
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363LF0000X
- Licence states on file
- TN, VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-03-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia