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Contact Information

SHADI DUCHESNE, MD
360 WHITE DEER RUN ROAD
ALLENWOOD, PA17810
 Phone: 570-538-2567
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for SHADI DUCHESNE · (Female)

NPI Number 1720208010
Status Active
Credentials MD
Entity Individual
Enumeration date 04/27/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # MD-045866-L
Hospital affiliation(s)
  • GRAND STRAND REGIONAL MEDICAL CENTER - (Acute Care)
    809 82ND PARKWAY
    MYRTLE BEACH, SC 29572
  • WILLIAMSBURG REGIONAL HOSPITAL - (Critical Access)
    500 NELSON BOULEVARD
    KINGSTREE, SC 29556
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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