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Search › Virginia › 207T00000X

Shannon Clark, MD

NPI 1316258569 · on the registry since 2010 · sole proprietor

Practice

Address
301 Riverview Ave Ste 202a
Norfolk, VA 23510
Phone
(757) 252-9140
Fax
(757) 793-4149
Organisation at this address
Sentara Medical Group
Sentara Medical Group
Sentara Medical Group
Sentara Medical Group
Sentara Medical Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address
147

Additional practice sites

  • 1000 Walnut St, Philadelphia, PA

Registry record

Primary taxonomy
207T00000X
207T00000X
Also registered as
207T00000X
Licence states on file
PA, VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-10-05

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