Provider Demographics
NPI:1023134079
Name:MCCARTHY, SHAWN ALAN (PA-C, ATC)
Entity type:Individual
Prefix:MR
First Name:SHAWN
Middle Name:ALAN
Last Name:MCCARTHY
Suffix:
Gender:M
Credentials:PA-C, ATC
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Other - First Name:
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Mailing Address - Street 1:3937 COLONY WOODS DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-6868
Mailing Address - Country:US
Mailing Address - Phone:302-598-5392
Mailing Address - Fax:
Practice Address - Street 1:503 BOWMAN GRAY DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-7286
Practice Address - Country:US
Practice Address - Phone:252-816-4001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2022-01-12
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical