Organization
SHELBY STEPHENSON MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELBY A STEPHENSON MD (OWNER)
(910) 862-6200
Entity
Organization
Contact information
Practice address
300 MCKAY STREET, SUITE D, ELIZABETHTOWN, NC 28337
(910) 862-6200
(910) 862-1494
Mailing address
PO BOX 2170, ELIZABETHTOWN, NC 28337-2170
(910) 862-6200
(910) 862-1494
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180018924
RAILROAD MEDICARE
NC
01
—
245829460
SUPERIOR VISION
NC
01
—
79731
BCBS OF NC
NC
05
—
8979731
—
NC
Enumeration date
08/16/2006
Last updated
10/18/2012
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