Provider Demographics
NPI:1952078198
Name:SHROPSHIRE, CAROLINE RUSSELL (PA-C)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:RUSSELL
Last Name:SHROPSHIRE
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:195 KIMEL PARK DRIVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-2842
Mailing Address - Country:US
Mailing Address - Phone:336-768-6211
Mailing Address - Fax:336-768-6869
Practice Address - Street 1:195 KIMEL PARK DRIVE
Practice Address - Street 2:SUITE 200
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-2842
Practice Address - Country:US
Practice Address - Phone:336-768-6211
Practice Address - Fax:336-768-6869
Is Sole Proprietor?:No
Enumeration Date:2021-08-25
Last Update Date:2023-08-30
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Provider Licenses
StateLicense IDTaxonomies
SC4294363A00000X
363A00000X
NC0010-13226363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant