Individual
JOAN SHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
250 CHARLOIS BLVD, WINSTON SALEM, NC 27103-1508
(336) 718-1000
(336) 718-1052
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 718-1000
(336) 718-1052
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
2003-00528
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89135TT
—
NC
Enumeration date
03/22/2006
Last updated
02/27/2014
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