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Organization
NES OF SHELBY INC
Active
Organization
NES OF SHELBY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA MEADOWS (PROVIDER ENROLLMENT)
(800) 377-8721
Entity
Organization
Contact information
Practice address
465 W PUTNAM AVE, PORTERVILLE, CA 93257
(559) 784-1110
Mailing address
PO BOX 936519, ATLANTA, GA 31193-6519
(800) 377-8721
(304) 697-1155
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
07/06/2018
Last updated
07/16/2018
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