Individual
DONALD PAUL SHACKELFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 847-2273
Mailing address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 847-2273
Taxonomy
Speciality
Code
Description
License number
State
207VC0200X
Critical Care Medicine (Obstetrics & Gynecology) Physician
Primary
9501090
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891205U
—
NC
Enumeration date
05/01/2006
Last updated
03/06/2024
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