Individual
SHANNON D MCQUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
301 E WENDOVER AVE STE 400, GREENSBORO, NC 27401-1207
(336) 832-3150
(336) 832-3151
Mailing address
301 E WENDOVER AVE STE 400, GREENSBORO, NC 27401-1207
(336) 832-3150
(336) 832-3151
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9501229
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29428
BCBS
NC
Enumeration date
06/14/2005
Last updated
08/18/2021
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