| NPI | 1518991058 |
|---|---|
| Former Legal Business Name | SHANNON BRACKETT HINKLE, PA-C, LLC |
| Entity Type | Organization |
| Authorized Contact | SHANNON BRACKETT HINKLE Owner 252-442-7462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: FL PA3510) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-08-22 |