Individual
MS. MEGAN ROSE SHANOSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1000 BRABHAM AVE, JACKSONVILLE, NC 28546-5003
(910) 937-2570
(910) 219-1270
Mailing address
1202 MEDICAL CENTER DR, WILMINGTON, NC 28401-7307
(910) 341-1540
(910) 431-4048
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
0010-14482
NC
363AM0700X
Medical Physician Assistant
Primary
—
NC
Other
Enumeration date
07/17/2024
Last updated
02/06/2025
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