Organization
SHELBY MEDICAL ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL BRENT FERRELL MD (PRESIDENT/PHYSICIAN)
(704) 482-1482
Entity
Organization
Contact information
Practice address
711 N DEKALB ST, SHELBY, NC 28150-3911
(704) 482-1482
(704) 480-6012
Mailing address
711 N DEKALB ST, SHELBY, NC 28150-3911
(704) 482-1482
(704) 480-6012
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8902660
—
NC
Enumeration date
08/30/2005
Last updated
03/21/2011
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