Individual
DANIEL SHEA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1144 N ROAD ST, ELIZABETH CITY, NC 27909-3353
(252) 335-0531
Mailing address
211 VIRGINIA RD, EDENTON, NC 27932-9668
(252) 335-0531
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
39685
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8975568
—
NC
Enumeration date
05/12/2006
Last updated
03/07/2023
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