Individual
SHOBHA M FARIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
329 JEFFERSON ST, WHITEVILLE, NC 28472-3601
(910) 642-4711
(910) 642-3232
Mailing address
PO BOX 1354, WHITEVILLE, NC 28472-1354
(910) 642-4711
(910) 642-3232
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27173
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31148
BCBS OF NC
NC
05
—
8931148
—
NC
Enumeration date
07/19/2005
Last updated
03/29/2012
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