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Organization

SHELBY RADIOLOGICAL ASSOCIATES, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL DOUGLAS WEHMUELLER MD (CORPORATE SECRETARY)
(704) 482-3880
Entity
Organization

Contact information

Practice address
222 N LAFAYETTE ST, SUITE 01, SHELBY, NC 28150-4444
(704) 482-3880
(704) 487-0294
Mailing address
222 N LAFAYETTE ST, SUITE 01, SHELBY, NC 28150-4444
(704) 482-3880
(704) 487-0294

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
39419
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020837299
US DEPARTMENT OF LABOR
01
148760XX
PREFERRED CARE
05
8902663
NC
05
E16337
SC
Enumeration date
01/13/2006
Last updated
04/01/2013
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