Individual
SHAWN THOMAS COLWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RNFA
Contact information
Practice address
411 DOGWOOD LN, WILMINGTON, NC 28409-5805
(910) 409-9427
Mailing address
411 DOGWOOD LN, WILMINGTON, NC 28409-5805
(910) 409-9427
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
253656
NC
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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