St Clair, Shannon Mitchell

St Clair, Shannon Mitchell is an individual health care provider with primary practice located at 186 Kimel Park Dr , Winston Salem NC 27103-6946. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Nuclear Cardiology is his primary health care specialty. St Clair, Shannon Mitchell can be contacted via phone (336) 277-2000.

Contact Information

Primary practice address
186 Kimel Park Dr Winston Salem NC 27103-6946
Phone: (336) 277-2000
Fax: (336) 277-2050
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 2009-00666 North Carolina
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X 2009-00666 North Carolina

Profile Details

NPI number 1003073396
LBN Legal business name St Clair, Shannon Mitchell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2008
Last updated Oct 25th, 2020 - about 5 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 1003073396 NPPES
North Carolina MEDICAID 5921382

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