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Individual

DR. SHAWN L WILLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
840 FLEMING ST STE 3, HENDERSONVILLE, NC 28791-3541
(913) 948-1340
(828) 595-9499
Mailing address
840 FLEMING ST STE 3, HENDERSONVILLE, NC 28791-3541
(913) 948-1340
(828) 595-9499

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2017-01998
NC
2084N0400X
Neurology Physician
DR.0036177
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1952502544
MO
05
200599170A
KS
Enumeration date
05/30/2007
Last updated
04/28/2020
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