IndividualActive
Michael Shin, M.D.
NPI 1073787065 · Sports Medicine (Orthopaedic Surgery) Physician · Elizabeth City, NC
Provider details
- NPI number
- 1073787065
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 036122807 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1144 N Road St Ste 200
Elizabeth City, NC 27909-3473
Phone: (252) 384-2360
Fax: (252) 384-2359
Approximate (ZIP-level) locationGet directions
Mailing address
1144 N Road St Ste 200
Elizabeth City, NC 27909-3473
Additional practice locations (1)
- 600 E 1st StValley Orthopedics and Sports MedicineSpring Valley, IL 61362-1512Phone: (815) 664-5343Fax: (815) 664-3175
Registry dates
- Enumerated
- 2008-04-22
- Last updated
- 2023-09-15
- Certified
- 2023-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.