Organization
MARION PEDIATRIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAMSHED ALI M.D. (DOCTOR OF PEDIATRICS)
(828) 652-6386
Entity
Organization
Contact information
Practice address
31 E MEDICAL CT STE 1, MARION, NC 28752-4969
(828) 652-6386
Mailing address
31 E MEDICAL CT STE 1, MARION, NC 28752-4969
(828) 652-6386
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
200001405473
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8902077
—
NC
Enumeration date
05/07/2007
Last updated
08/22/2020
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