Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS SHANITA ROSHAWN SHUFORD, MEDICAL WIG PROVIDER
Active Sole ProprietorMISS SHANITA ROSHAWN SHUFORD, MEDICAL WIG PROVIDER is a Prosthetic/Orthotic Supplier healthcare provider located in STATESVILLE, North Carolina. NPI 1619793486 is currently active in the NPPES registry. Verify at CMS.
Prosthetic/Orthotic Supplier · STATESVILLE, NC
Registration Details
- NPI Number
- 1619793486
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 26, 2024 (1.7529013813856 yrs)
- Last Updated
- Nov 26, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
125 N TRADO ST SUITE DSTATESVILLE, NC, 28677Browse NC providers · Browse ZIP 28677
- Phone
- 8285718564
- Primary Specialty
-
Prosthetic/Orthotic Supplier
335E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.