Provider Demographics
NPI:1447235734
Name:TALBOT, SHELAGH KATHERINE (MD)
Entity Type:Individual
Prefix:DR
First Name:SHELAGH
Middle Name:KATHERINE
Last Name:TALBOT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:SHELAGH
Other - Middle Name:TALBOT
Other - Last Name:SINCLAIR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:6509 MILLER DR
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22315-3515
Mailing Address - Country:US
Mailing Address - Phone:703-921-9409
Mailing Address - Fax:
Practice Address - Street 1:9501 FARRELL RD
Practice Address - Street 2:
Practice Address - City:FORT BELVOIR
Practice Address - State:VA
Practice Address - Zip Code:22060-5901
Practice Address - Country:US
Practice Address - Phone:703-805-9181
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD021324E207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology