NPI 1114748761

Shannon Anderson

Practitioner Contractor Henderson, NC

Practice location

Address: 299 E Boulder Rd, Henderson, NC 27537-6982
Phone: (919) 482-1323

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

Other Contractor providers in North Carolina →

Registry record

NPI: 1114748761
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Oct 2024
Record last updated: 17 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.