# SHANAHAN RHEUMATOLOGY AND IMMUNOTHERAPY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912235268
- **Authorized official:** MISS NICOLE COUTURE (BILLING AGENT)
- **Authorized official phone:** (413) 772-8500

## Contact information

- **Practice address:** 10208 CERNY STREET, WAKE MED BRIER CREEK MEDICAL PARK, RALEIGH, NC 27617
- **Practice address phone:** (919) 949-2228
- **Mailing address:** 10208 CERNY STREET, WAKE MED BRIER CREEK MEDICAL PARK, RALEIGH, NC 27617
- **Mailing address phone:** (919) 949-2228

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RR0500X | Rheumatology Physician | 9801767 | NC | Yes |

## Other

- **Enumeration date:** 11/25/2009
- **Last updated:** 02/01/2011