Individual
CASEY RYAN SHUMBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2301 ERWIN RD, DURHAM, NC 27705-4699
(919) 684-8111
Mailing address
PO BOX 63362, CHARLOTTE, NC 28263-3362
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036179320
IL
2085R0202X
Diagnostic Radiology Physician
Primary
2025-01913
NC
2085R0202X
Diagnostic Radiology Physician
MD-56422
IA
Other
Enumeration date
03/26/2020
Last updated
08/03/2026
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