Individual
EDWIN NEAL SHOEMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
245 CHARLOIS BLVD, WINSTON SALEM, NC 27103-1507
(336) 659-4777
(336) 659-4798
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2022-02314
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2018
Last updated
08/30/2022
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