Individual
SHAWN LEE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DR, ROOM 204, MORGANTOWN, WV 26506-1200
(304) 598-6900
(304) 285-7373
Mailing address
1 MEDICAL CENTER DR, ROOM 204, PO BOX 9152, MORGANTOWN, WV 26506-1200
(304) 598-6900
(304) 285-7373
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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