Individual
MRS. JOANNA WOLICKI-SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1305 NORTH QUEEN STREET, KINSTON, NC 28501-1581
(252) 523-2781
(252) 523-2711
Mailing address
1305 NORTH QUEEN STREET, KINSTON, NC 28501-1581
(252) 523-2781
(252) 523-2711
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
200001033
NC
Other
Enumeration date
08/08/2006
Last updated
10/21/2009
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