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Shannon Mitchell St Clair

Internist - Cardiovascular Disease

186 Kimel Park Dr
Winston Salem , North Carolina 27103-6946

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Shannon Mitchell St Clair

Internist - Cardiovascular Disease

186 Kimel Park Dr
Winston Salem , North Carolina 27103-6946

(336) 277-2050

Write a Review Save Call

Shannon Mitchell St Clair

Internist - Cardiovascular Disease

186 Kimel Park Dr
Winston Salem , North Carolina 27103-6946

(336) 277-2050 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Internist - Cardiovascular Disease

Languages spoken

  • English

Location

186 Kimel Park Dr Winston Salem , North Carolina 27103-6946

First Address

  • Shannon Mitchell St Clair
  • Po Box 751803
  • Charlotte, NC
  • Zip : 28275-1803
  • Fax : (336) 277-2050
  • Phone : (336) 277-2000

Second Address

  • Shannon Mitchell St Clair
  • 186 Kimel Park Dr
  • Winston Salem, NC
  • Zip : 27103-6946
  • Fax : (336) 277-2050
  • Phone : (336) 277-2000

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FAQs


Where did Shannon Mitchell St Clair attend graduate school?

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Where did Shannon Mitchell St Clair do his residency?

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Where did Shannon Mitchell St Clair do his fellowship?

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Is Shannon Mitchell St Clair board certified?

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In what state does Shannon Mitchell St Clair practice in?

North Carolina

Where is Shannon Mitchell St Clair ’s practice located?

186 Kimel Park Dr , Winston Salem, North Carolina, 27103-6946

What is Shannon Mitchell St Clair ’s gender?

Male

Is Shannon Mitchell St Clair a sole practitioner?

No

Is Shannon Mitchell St Clair accepting new patients?

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What languages does Shannon Mitchell St Clair speak?

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Does Shannon Mitchell St Clair accept insurance?

Yes, Shannon Mitchell St Clair accepts insurance

Does Shannon Mitchell St Clair offers telemedicine?

Shannon Mitchell St Clair has not indicated if he offers telemedicine

What is Shannon Mitchell St Clair ’s professional license number?

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What is Shannon Mitchell St Clair ’s NPI number?

1003073396

Does Shannon Mitchell St Clair have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 207RC0000X Internist - Cardiovascular Disease 2009-00666 NC

National Provider Identifier

NPI 1003073396
Provider Name Shannon Mitchell St Clair
First Address Charlotte, NC 28275-1803
Second Address Winston Salem, NC 27103-6946
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 22/05/2008
Last Update Date 25/10/2020

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
5921382 (05) NC

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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