Organization
TELETEEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANELLE SHUMATE MD (CMO)
(919) 296-4400
Entity
Organization
Contact information
Practice address
6409 FAYETTEVILLE RD STE 120-323, DURHAM, NC 27713-6297
(919) 296-4400
Mailing address
6409 FAYETTEVILLE RD STE 120-323, DURHAM, NC 27713-6297
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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