Individual
DAVID BRIAN SHELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310-5327
(910) 907-2919
Mailing address
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310-0001
(910) 907-2919
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
0010-13638
NC
363A00000X
Physician Assistant
1169357
GA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/26/2019
Last updated
05/19/2025
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