Baumgartner, Shavonda

Baumgartner, Shavonda is an individual health care provider with primary practice located at 8401 Medical Plaza Dr Ste 250 , Charlotte NC 28262. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Baumgartner, Shavonda can be contacted via phone (704) 384-1500.

Contact Information

Primary practice address
8401 Medical Plaza Dr Ste 250 Charlotte NC 28262
Phone: (704) 384-1500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X 56231 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2015-01471 North Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 56231 Tennessee

Profile Details

NPI number 1346508363
LBN Legal business name Baumgartner, Shavonda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2012
Last updated Mar 29th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346508363 NPPES
Tennessee Other 56231 STATE OF TENNESSEE MEDICAL LICENSE

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