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Individual
MRS. SHELLEY MAHAFFEY
Active
Individual
MRS. SHELLEY MAHAFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
22775
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7864275
AETNA
SC
01
—
B0641
MEDCOST
SC
05
—
T69770
—
SC
Enumeration date
01/25/2006
Last updated
02/04/2021
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