Most Relevant Information
Provider Data
| NPI Number: | 1003073396 |
| Provider Name: | SHANNON MITCHELL ST CLAIR MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207RC0000X |
| Specialty: | Internal Medicine |
| License Number: | 2009-00666 |
Most Important Dates
| Enumeration Date: | 05/22/2008 |
| Last Updated: | 10/25/2020 |
Provider Practice Location
186 KIMEL PARK DR
WINSTON SALEM
NC
271036946
Practice Location Phone/Fax
| Phone: | 3362772000 |
| Fax: | 3362772050 |
Provider Mailing Location
PO BOX 751803
CHARLOTTE
NC
282751803
Provider Mailing Phone/Fax
| Phone: | 3362772000 |
| Fax: | 3362772050 |
Suggested EMR
Internist EMR