Individual
SHANNON WRIGHT LONGSHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
503 BOWMAN GRAY DR, GREENVILLE, NC 27834-7286
(252) 816-0600
(252) 816-0721
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
2013-01284
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043292386
—
NC
01
—
180Y3
BCBSNC
NC
Enumeration date
11/14/2005
Last updated
08/13/2025
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