Shannon Wright Longshore, MD | |
517 Moye Blvd, Greenville, NC 27834-2849 | |
(252) 744-2832 | |
(252) 744-3457 |
Full Name | Shannon Wright Longshore |
---|---|
Gender | Female |
Speciality | Surgery - Pediatric Surgery |
Location | 517 Moye Blvd, Greenville, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043292386 | NPI | - | NPPES |
180Y3 | Other | NC | BCBSNC |
1043292386 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0120X | Surgery - Pediatric Surgery | 2013-01284 (North Carolina) | Primary |
Entity Name | East Carolina University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972551919 PECOS PAC ID: 0244143246 Enrollment ID: O20031106000400 |
Mailing Address | Practice Location Address |
---|---|
Shannon Wright Longshore, MD Po Box 751069, Charlotte, NC 28275-1069 Ph: () - | Shannon Wright Longshore, MD 517 Moye Blvd, Greenville, NC 27834-2849 Ph: (252) 744-2832 |
Dr. Michael W.a. Chu, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 600 Moye Blvd, Leo Jenkins Cancer Center, Greenville, NC 27834 Phone: 252-744-4822 Fax: 252-744-9004 | |
Dr. Yifan Guo, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 517 Moye Blvd, Ecu Physicians Plastic Surgery, Greenville, NC 27834 Phone: 252-744-5291 Fax: 252-744-5778 | |
Dr. Frances Chinenye Okolo, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 517 Moye Blvd, Greenville, NC 27834 Phone: 252-744-2832 Fax: 252-744-3457 | |
Timothy W Mcguire, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1850 W Arlington Blvd, Greenville, NC 27834 Phone: 252-413-6735 Fax: 252-752-2019 | |
David Anthony Rodeberg, MD Surgery Medicare: Medicare Enrolled Practice Location: 517 Moye Blvd, Greenville, NC 27834 Phone: 252-744-2832 Fax: 252-744-3457 | |
Dr. Simon C Moten, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 600 Moye Blvd, Life Science Building-cardiothoracic Outpatient Clin., Greenville, NC 27834 Phone: 252-744-4822 Fax: 252-744-5192 |