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NPI Code Detail

MEDICARE: JANELLE ADENIKA SHUMATE M.D.

MEDICARE: JANELLE ADENIKA SHUMATE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician200901229NC

General Provider Information

NPI Number : 1124245865
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANELLE ADENIKA SHUMATE M.D.
Provider Business Mailing Address
First Line : 6409 FAYETTEVILLE RD STE 120-323
Second Line :
City : DURHAM
State : NC
Zip : 27713-6297
Country : US
Telephone Number : 984-307-4787
Fax Number :
Provider Business Practice Location Address
First Line : 400 GRANVILLE CORS STE 400
Second Line :
City : OXFORD
State : NC
Zip : 27565-4009
Country : US
Telephone Number : 984-307-4787
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2007
Last Update Date : 03/24/2026

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