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Individual

CORY GLENN SHEELER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-C

Contact information

Practice address
101 E MATTHEWS ST, SUITE 200, MATTHEWS, NC 28105-4866
(704) 246-3936
Mailing address
15502 TOLLIVER DR, CHARLOTTE, NC 28277-1597
(704) 608-4821

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
18380
SC
363LF0000X
Family Nurse Practitioner
Primary
203358
NC
363LF0000X
Family Nurse Practitioner
5004411
NC

Other

Enumeration date
07/09/2009
Last updated
08/29/2016
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