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Shannon Wright Longshore, MD
Pediatric Surgery Physician in Greenville, North Carolina
NPI 1043292386

Shannon Wright Longshore is a Pediatric Surgery Physician based in Charlotte, NC and is specialized in Pediatric Surgery. Shannon Wright Longshore practices in Greenville, NC and has the professional credentials of MD. The NPI Number for Shannon Wright Longshore is 1043292386 and holds a License No. 2013-01284 (North Carolina).

The current practice location address for Shannon Wright Longshore is 517 Moye Blvd, Greenville, NC and can be reached out via phone at 252-744-2832 and via fax at 252-744-3457.

Location: 517 Moye Blvd, Greenville, NC, 28275-1069
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Provider Profile Details
NPI Number
1043292386
Provider Name
Shannon Wright Longshore
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
517 Moye Blvd, Greenville, NC, 28275-1069
Phone Number
252-744-2832
Fax Number
252-744-3457
Provider Enumeration Date
11/14/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
180Y3 01 NC BCBSNC
1043292386 05 NC
institution
Provider Business Practice Location Address Details
Address
517 Moye Blvd
City
State
Zip
27834-2849
Phone Number
252-744-2832
Fax Number
252-744-3457
person
Provider Business Mailing Address Details
Address
517 Moye Blvd
City
State
Zip
27834-2849
Phone Number
252-744-2832
Fax Number
252-744-3457
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Pediatric Surgery
Taxonomy
License No.
2013-01284 (North Carolina)
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
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