Individual
DR. JONATHAN DANIEL SHOFFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 CRESCENT GREEN, CARY, NC 27511
(919) 467-3211
(919) 467-5315
Mailing address
1001 CRESCENT GRN, CARY, NC 27518-8101
(919) 235-3042
(919) 235-3094
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
200100462
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89128V6
—
NC
Enumeration date
07/03/2006
Last updated
01/23/2012
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