Individual
SHAUNESE DERAE SINGLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
209 PARK ST, SUITE 500, BELMONT, NC 28012-5205
(704) 829-0025
(704) 829-0031
Mailing address
209 PARK ST, SUITE 500, BELMONT, NC 28012-5205
(704) 829-0025
(704) 829-0031
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
200100958
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
229425
—
SC
05
—
5905500
—
NC
Enumeration date
10/24/2006
Last updated
12/16/2013
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