Search › North Carolina › 111N00000X
Shane Edwards
NPI 1578947990 · on the registry since 2015 · sole proprietor
Practice
- Address
- 434 N Trade St Ste 103
Matthews, NC 28105 - Phone
- (704) 845-0777
- Organisation at this address
- Proheal Nc Inc
Forsyth Medical Group, Llc
Matthews Internal Medicine PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Also registered as
- 111N00000X
- Licence states on file
- NC, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-06-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina