Individual
KERRY CATHERINE SHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 744-5871
(252) 744-5759
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
2017-01856
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396971776
—
NC
01
—
19RDM
BCBS OF NC
NC
01
—
NCZ189A
MEDICARE
NC
Enumeration date
05/30/2009
Last updated
03/06/2024
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