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Individual

PETER MATHIS SHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 HOSPITAL RD, CALLER BOX C-268, CHEROKEE, NC 28719-9253
(828) 497-9163
(828) 497-1723
Mailing address
1 HOSPITAL RD, CALLER BOX C-268, CHEROKEE, NC 28719-9253
(828) 497-9163
(828) 497-1723

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200300881
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1225100050
NC
01
138XG
BCBS
NC
Enumeration date
11/15/2006
Last updated
03/07/2023
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