# SHANNON BRACKETT HINKLE, PA-C, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shannon Brackett Hinkle, PA-C, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518991058
- **Authorized official:** MS. SHANNON BRACKETT HINKLE III PA-C (OWNER)
- **Authorized official phone:** (252) 442-7462

## Contact information

- **Practice address:** 6411 WATERS EDGE DR, ROCKY MOUNT, NC 27803-8925
- **Practice address phone:** (252) 442-7462
- **Practice address fax:** (252) 446-7463
- **Mailing address:** 6411 WATERS EDGE DR, ROCKY MOUNT, NC 27803-8925
- **Mailing address phone:** (252) 442-7462
- **Mailing address fax:** (252) 446-7463

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | PA3510 | FL | Yes |

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 08/22/2020