IndividualActive
Shannon Longshore, M.D.
NPI 1043292386 · Pediatric Surgery Physician · Greenville, NC
Provider details
- NPI number
- 1043292386
- Entity type
- Individual
- Primary specialty
- Pediatric Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 2013-01284 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
503 Bowman Gray Dr
Greenville, NC 27834-7286
Phone: (252) 816-0600
Fax: (252) 816-0721
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 751069
Charlotte, NC 28275-1069
Registry dates
- Enumerated
- 2005-11-14
- Last updated
- 2025-08-13
- Certified
- 2025-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.