Healthcare Provider Details

I. General information

NPI: 1669866844
Provider Name (Legal Business Name): ROWAN RICHARD ANDREW SHELDON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2015
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2817 ROCK MERRIT AVE STOP A
FORT BRAGG NC
28310-0001
US

IV. Provider business mailing address

2817 ROCK MERRITT AVE STOP A
FORT BRAGG NC
28310-0001
US

V. Phone/Fax

Practice location:
  • Phone: 910-907-7405
  • Fax: 910-907-6000
Mailing address:
  • Phone: 910-907-7405
  • Fax: 910-907-6000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number29524
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number2021-03341
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: