Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shane Megan Sundlie, MD

Individual provider Pediatrics Physician · NPI 1154813764

Shane Megan Sundlie, MD is a Pediatrics Physician in Clinton, North Carolina. Licensed in North Carolina. Registered with an NPI since 2018.

Licensed in
NC
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

403 Fairview St
Clinton, NC 28328-2399
Phone: (910) 592-6011
Fax: (910) 592-0819
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 2021-01125 (NC)

Record details

NPI number1154813764
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 31, 2018
Last updated in NPPESJuly 8, 2022
Certification dateJuly 8, 2022

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