Provider Demographics
NPI:1629699970
Name:SHOEMAKER, GRIFFIN BENJAMIN (MD, MPH)
Entity Type:Individual
Prefix:
First Name:GRIFFIN
Middle Name:BENJAMIN
Last Name:SHOEMAKER
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CARILION ROANOKE MEMORIAL HOSPITAL
Mailing Address - Street 2:1906 BELLEVIEW AVE
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24014
Mailing Address - Country:US
Mailing Address - Phone:405-981-7000
Mailing Address - Fax:
Practice Address - Street 1:CARILION ROANOKE MEMORIAL HOSPITAL
Practice Address - Street 2:1906 BELLEVIEW AVE
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24014
Practice Address - Country:US
Practice Address - Phone:405-981-7000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-28
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program