Individual
DR. SHANNA R SPRINKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
101 PROFESSIONAL PARK STE B, OXFORD, NC 27565-2580
(919) 603-0368
(919) 690-0842
Mailing address
2521 GREENWAY BOULEVARD, ROSELLE, NJ 07203
(405) 226-6883
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2023-02997
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2023-02997
NC STATE MEDICAL LICENSE
NC
01
—
25MA11586200
NJ STATE MEDICAL LICENSE
NJ
Enumeration date
05/06/2013
Last updated
07/23/2024
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