Individual
PATRICK SHANE MCELGUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5815 BLAKENEY PARK DR STE 100, CHARLOTTE, NC 28277-5732
(704) 542-2220
(704) 542-3304
Mailing address
1072 X RAY DR, GASTONIA, NC 28054-7498
(704) 671-1094
(704) 671-1095
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
200600105
NC
207N00000X
Dermatology Physician
D058240
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5903244
—
NC
Enumeration date
05/10/2006
Last updated
11/27/2023
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