Individual
SHANE MEGAN SUNDLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
403 FAIRVIEW ST, CLINTON, NC 28328-2399
(910) 592-6011
(910) 592-0819
Mailing address
403 FAIRVIEW ST, CLINTON, NC 28328-2399
(910) 592-6011
(910) 592-0819
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2021-01125
NC
Other
Enumeration date
05/31/2018
Last updated
07/08/2022
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