Organization
KRYSTLE SHIELDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTLE SHIELDS (NP)
(252) 227-2276
Entity
Organization
Contact information
Practice address
3116 NOAH CT, GREENVILLE, NC 27834-6239
(252) 227-2276
Mailing address
3116 NOAH CT, GREENVILLE, NC 27834-6239
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/01/2018
Last updated
03/17/2018
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