Individual
KELISSA STACY SHILLINGFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6020 FAYETTEVILLE RD, DURHAM, NC 27713-9754
(919) 572-2000
Mailing address
6020 FAYETTEVILLE RD, DURHAM, NC 27713-9754
(919) 572-2000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2021-00762
NC
Other
Enumeration date
04/15/2018
Last updated
10/28/2021
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