W J Shields M D

NPI #1164691689 in Grafton, Virginia

Provider Information

NPI Number: 1164691689
Entity Type: Organization
Organization Name: W J Shields M D
Primary Specialty: Dermatology
Enumeration Date: Feb 28, 2008
Last Updated: Feb 28, 2008

Practice Location

Address: 914 DENBIGH BLVD
City: Grafton
State: Virginia
ZIP Code: 23692-2156
Phone: (757) 874-0320

Authorized Official

Name: MRS. JUDY A HADSELL
Title: OFFICE MANAGER
Phone: (757) 874-0320

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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