Individual
MRS. SHANNON HIATT COWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
101 MEDICAL PARK DR, MEBANE, NC 27302-7639
(919) 563-2500
(919) 563-3535
Mailing address
101 MEDICAL PARK DR, MEBANE, NC 27302-7639
(919) 563-2500
(919) 563-3535
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
5006784
NC
Other
Enumeration date
03/17/2014
Last updated
05/14/2021
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