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Individual

KAREN SHAVER MAYHEW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2085 FRONTIS PLAZA BLVD, WINSTON SALEM, NC 27103-5614
(704) 316-4136
(704) 417-4814
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(844) 266-8268

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
102021
NC
2080A0000X
Pediatric Adolescent Medicine Physician
102021
NC
363A00000X
Physician Assistant
Primary
102021
NC
363AM0700X
Medical Physician Assistant

Other

Enumeration date
12/07/2005
Last updated
08/08/2024
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