Individual
DR. JAMES ROBERT SHIPLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
367 S ANDY GRIFFITH PKWY STE 200, MOUNT AIRY, NC 27030-4010
(336) 443-9190
(336) 745-5936
Mailing address
367 S ANDY GRIFFITH PKWY STE 200, MOUNT AIRY, NC 27030-4010
(336) 443-9190
(336) 745-5936
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
519
NC
213ES0131X
Foot Surgery Podiatrist
519
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326195504
—
NC
01
—
NCA058B699
MEDICARE PTAN
NC
01
—
P01459103
RAILROAD MEDICARE
NC
Enumeration date
01/03/2007
Last updated
02/18/2021
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