IndividualActive
Shavon Cooke
NPI 1780391284 · Medical Toxicology (Preventive Medicine) Physician · Portsmouth, VA
Provider details
- NPI number
- 1780391284
- Entity type
- Individual
- Primary specialty
- Medical Toxicology (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- Yes
Mailing address
1021 Eden Way North Pmb 339
Chesapeake, VA 23320
Registry dates
- Enumerated
- 2022-11-03
- Last updated
- 2024-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.