Individual
DR. SHELLY HARRELL PECORELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2015-00412
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
2015-00412
NC
207LP3000X
Pediatric Anesthesiology Physician
2015-00412
NC
Other
Enumeration date
03/17/2010
Last updated
09/08/2017
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