Individual
DAVID SHIPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
526 N ELAM AVE STE 101, GREENSBORO, NC 27403-1132
(336) 854-2929
Mailing address
622 JERSEY AVE, WINSTON SALEM, NC 27101-1111
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6493
LICENSE #
NC
Enumeration date
08/29/2006
Last updated
07/08/2007
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