DR. Shannon E Fulp, M.D.

NPI #1487649414 in Roanoke, Virginia

Provider Information

NPI Number: 1487649414
Entity Type: Individual
Name: DR. Shannon E Fulp, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Otolaryngology
Credential: M.D.
Enumeration Date: Sep 15, 2005
Last Updated: Jun 11, 2024

Practice Location

Address: 4348 ELECTRIC RD
City: Roanoke
State: Virginia
ZIP Code: 24018-0720
Phone: (540) 769-0700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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