Individual
DR. SHANNON NICOLE MUMMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
DEPARTMENT OF EMERGENCY MEDICINE, MEDICAL CENTER BLVD., WINSTON SALEM, NC 27157-1089
(336) 716-4625
Mailing address
DEPARTMENT OF EMERGENCY MEDICINE, MEDICAL CENTER BLVD., WINSTON SALEM, NC 27157-1089
(336) 716-4625
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2018-00358
NC
Other
Enumeration date
05/21/2015
Last updated
08/08/2019
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