Individual
MRS. BETTY C MOREHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
711 N DEKALB ST, SHELBY, NC 28150-3911
(704) 482-1482
(704) 482-0811
Mailing address
711 N DEKALB ST, SHELBY, NC 28150-3911
(704) 482-1482
(704) 482-0811
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
200969
NC
363LF0000X
Family Nurse Practitioner
Primary
200969
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
184903
MEDCOST
SC
01
—
200969
LICENSE
NC
05
—
7003812
—
NC
Enumeration date
01/23/2006
Last updated
04/24/2017
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