SearchVirginia2085R0202X

Shannon Wilson, M.D

NPI 1326465220 · on the registry since 2014 · sole proprietor

Practice

Address
600 Gresham Dr
Norfolk, VA 23507
Phone
(757) 388-1141
Fax
(757) 388-1145
Organisation at this address
Sentara Hospitals
Sentara Hospitals
Sentara Hospitals
Sentara Hospitals
Sentara Hospitals
Inferred from a shared address, not stated in the registry.
Clinicians at this address
675

Registry record

Primary taxonomy
2085R0202X
2085R0202X
Also registered as
390200000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-05-08

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