Most Relevant Information
Provider Data
NPI Number: | 1003020660 |
Provider Name: | SHANNON N TIERNEY MD, MS |
Entity Type: | Individual |
Taxonomy Code: | 2086X0206X |
Specialty: | Surgery |
License Number: | 249543 |
Most Important Dates
Enumeration Date: | 05/10/2007 |
Last Updated: | 11/13/2023 |
Provider Practice Location
70 MEDICAL CENTER CIR STE 107&213
FISHERSVILLE
VA
229392273
Practice Location Phone/Fax
Phone: | 5402457705 |
Fax: | 5402457710 |
Provider Mailing Location
PO BOX 388
FISHERSVILLE
VA
229390388
Provider Mailing Phone/Fax
Phone: | 5409325162 |
Fax: | 5409325875 |