Organization
SHAYNE M SHERIDAN OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAYNE M SHERIDAN OD (OWNER)
(336) 793-5904
Entity
Organization
Contact information
Practice address
3732 CREEKSHIRE CT, WINSTON SALEM, NC 27103-1363
(336) 793-5904
Mailing address
3732 CREEKSHIRE CT, WINSTON SALEM, NC 27103-1363
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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