Shannon Wright Longshore in Greenville - Pediatric Surgery
Shannon Wright Longshore - NPI 1043292386
Shannon Wright Longshore is a Pediatric Surgery in Greenville, North Carolina. Shannon Wright Longshore practices all healthcare services and medical treatments related to Pediatric Surgery. The NPI Number for Shannon Wright Longshore is 1043292386. The last update date is 2020-12-17.
Shannon Wright Longshore's current location address is 517 Moye Blvd, Greenville, North Carolina. You can contact this provider via phone number 2527442832 and fax number 2527443457. The mailing address for Shannon Wright Longshore is 517 Moye Blvd, Greenville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Wright Longshore |
|---|---|
| Address | 517 Moye Blvd, Greenville, North Carolina |
| Phone Number | 2527442832 |
| Fax Number | 2527443457 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1043292386 |
|---|---|
| Provider Enumeration Date | 2005-11-14 |
| Last Updated Date | 2020-12-17 |
Provider Mailing Address Detail
| Address | 517 Moye Blvd |
|---|---|
| City | Greenville |
| State | North Carolina (NC) |
| Post Code | 278342849 |
| Phone Number | 2527442832 |
| Fax Number | 2527443457 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Surgery |
|---|---|
| Taxonomy | 2086S0120X |
| Licence No | 2013-01284 |
|
Definition: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 180Y3 | NC | BCBSNC | |
| 1043292386 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Shannon Wright Longshore by the Centers for Medicare & Medicaid Services?
The Shannon Wright Longshore has been assigned the NPI (National Provider Identifier) 1043292386 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Shannon Wright Longshore's facilities are geographically located?
The facilities of Shannon Wright Longshore are physically situated at the following location: 517 Moye Blvd, Greenville, NC, 278342849.
What is Shannon Wright Longshore's specialized field of practice, and what is the corresponding taxonomy classification code?
The Shannon Wright Longshore's area of specialization is Pediatric Surgery, and the corresponding taxonomy code that categorizes this field of practice is 2086S0120X.
On what date was the 1043292386 assigned to Shannon Wright Longshore?
The Shannon Wright Longshore was issued its 1043292386 on 2005-11-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Shannon Wright Longshore last refreshed?
The information related to the Shannon Wright Longshore, including its address, specialty, and other relevant details, was last updated on 2020-12-17.