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Individual

SHAWN DAVID MACAULEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CFE

Contact information

Practice address
1130 N CHURCH ST, STE 201, GREENSBORO, NC 27401-1038
(336) 375-4263
(336) 275-2286
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-8930
(423) 285-6647

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
CERT-1360
NC

Other

Enumeration date
10/27/2015
Last updated
10/27/2015
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