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Individual

MR. JOHN ISENHOUR SHOAF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1425 FERN CREEK DR, STATESVILLE, NC 28625-9376
(828) 459-6824
(828) 655-2344
Mailing address
PO BOX 5105, BELFAST, ME 04915-5100
(828) 459-6824
(828) 655-2344

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
104033
NC
363A00000X
Physician Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1881606655
NC
Enumeration date
08/12/2006
Last updated
05/04/2026
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