MEDICARE: DR. SHAWN MICHAEL HOWERTON 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
1	207Q00000X	Family Medicine Physician	35.084481	OH
2	207Q00000X	Family Medicine Physician	2005-00915	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	183913	OTHER	NC	MEDCOST PREFERRED PIN
2	141R7	OTHER	NC	BLUE CROSS BS PIN
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	141R7	OTHER	NC	NC BLUE CROSS BS PIN
5	331724	OTHER	NC	WELLPATH HEALTHCARE PIN
6	4867117	OTHER	NC	CIGNA HEALTHCARE PIN

General Provider Information

NPI Number	:	1437108628
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHAWN MICHAEL HOWERTON M.D.

Provider Business Mailing Address
First Line	:	304 W NC HIGHWAY 24
Second Line	:
City	:	ROSEBORO
State	:	NC
Zip	:	28382-8684
Country	:	US
Telephone Number	:	910-525-5848
Fax Number	:	910-525-3838

Provider Business Practice Location Address
First Line	:	304 W NC HIGHWAY 24
Second Line	:
City	:	ROSEBORO
State	:	NC
Zip	:	28382-8684
Country	:	US
Telephone Number	:	910-525-5848
Fax Number	:	910-525-3838

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2006
Last Update Date	:	12/18/2020

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Directions to “ DR. SHAWN MICHAEL HOWERTON M.D.” Practice Location

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