Provider Demographics
NPI:1427166941
Name:HONNEY, SHANON LEE (MD)
Entity type:Individual
Prefix:DR
First Name:SHANON
Middle Name:LEE
Last Name:HONNEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 751649
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28275-1649
Mailing Address - Country:US
Mailing Address - Phone:888-472-0043
Mailing Address - Fax:843-724-2440
Practice Address - Street 1:325 FOLLY RD STE 103
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29412-2507
Practice Address - Country:US
Practice Address - Phone:843-406-4948
Practice Address - Fax:843-406-4940
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC22489207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCP00379524OtherRAILROAD MC ID
SCP00741251OtherRAILROAD MEDICARE ID-RSFPN
SC224894Medicaid
SCH90229Medicare UPIN
SCH902299223Medicare PIN
SC224894Medicaid