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Contact Information

JONATHAN D SHOFFNER, MD
1001 CRESCENT GREEN
CARY, NC27511
 Phone: 919-467-3211
 Fax: 919-467-5315
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JONATHAN D SHOFFNER · (Male)

NPI # 1336179969
Status Active
Credentials MD
Entity Individual
Enumeration date 07/03/2006
Last updated 01/23/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 200100462
  • NC Medicaid 89128V6
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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