Longshore, Shannon Wright

Longshore, Shannon Wright is an individual health care provider with primary practice located at 517 Moye Blvd , Greenville NC 27834-2849. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as her primary health care specialty. Longshore, Shannon Wright can be contacted via phone (252) 744-2832.

Contact Information

Primary practice address
517 Moye Blvd Greenville NC 27834-2849
Phone: (252) 744-2832
Fax: (252) 744-3457
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 2013-01284 North Carolina

Profile Details

NPI number 1043292386
LBN Legal business name Longshore, Shannon Wright
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Feb 20th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043292386 NPPES
North Carolina Other 180Y3 BCBSNC
North Carolina MEDICAID 1043292386 BCBSNC

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