Individual
SHELBY WILLIAMS LYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1 MEADOWS PKWY STE B, VIDALIA, GA 30474-8759
(912) 454-7012
(866) 871-8565
Mailing address
PO BOX 749495, ATLANTA, GA 30374-9495
(855) 963-2100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN-NP235990
GA
363LF0000X
Family Nurse Practitioner
APRN-NP235990
GA
Other
Enumeration date
03/11/2024
Last updated
10/15/2025
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