Individual
MARY DENISE SHEARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
624 QUAKER LN, SUITE 105C, HIGH POINT, NC 27262-3832
(336) 802-2105
(336) 802-2106
Mailing address
1701 WESTCHESTER DRIVE, SUITE 850, HIGH POINT, NC 27262-7254
(336) 802-2400
(336) 802-2001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34226
NC
207RG0100X
Gastroenterology Physician
Primary
34226
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100008459
RAILROAD MEDICARE
NC
05
—
8975928
—
NC
Enumeration date
07/19/2006
Last updated
12/21/2020
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