Individual
DR. SHAWN PATRICK EMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 667-2606
(910) 815-5698
Mailing address
346 GRAND AVE, JOHNSON CITY, NY 13790-2580
(607) 729-8156
(607) 729-3982
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
250653
NY
208M00000X
Hospitalist Physician
Primary
2022-00593
NC
208M00000X
Hospitalist Physician
250653
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03104941
—
NY
Enumeration date
06/07/2008
Last updated
08/23/2022
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