Individual
ANNE GILLIES SHIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1415 PHYSICIANS DR, WILMINGTON, NC 28401-7338
(910) 662-9500
(910) 662-9501
Mailing address
PO BOX 936857, ATLANTA, GA 31193-6857
(910) 662-9500
(910) 662-9501
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-19-97908
NC
363A00000X
Physician Assistant
Primary
0010-13737
NC
Other
Enumeration date
09/12/2019
Last updated
01/26/2024
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