Individual
MEGAN MONTGOMERY SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
3333 BROOKVIEW HILLS BLVD STE 201, WINSTON SALEM, NC 27103-5661
(336) 713-8660
Mailing address
3333 BROOKVIEW HILLS BLVD STE 201, WINSTON SALEM, NC 27103-5661
(336) 713-8660
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
5014130
NC
363LP0200X
Pediatric Nurse Practitioner
Primary
202119632
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/09/2021
Last updated
10/17/2021
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