Individual
MR. SHANNON MICHEAL BLANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 832-7784
(336) 832-7782
Mailing address
1200 N ELM ST, GREENSBORO, NC 27401-1004
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1051295
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
181099
NC
Other
Enumeration date
09/24/2009
Last updated
08/29/2025
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