Organization
SHELBY STEPHENSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELBY A STEPHENSON MD (OWNER)
(910) 483-3534
Entity
Organization
Contact information
Practice address
414 OWEN DR, FAYETTEVILLE, NC 28304-3416
(910) 483-3534
(910) 483-0968
Mailing address
414 OWEN DR, FAYETTEVILLE, NC 28304-3416
(910) 483-3534
(910) 483-0968
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8979732
—
NC
Enumeration date
08/16/2006
Last updated
04/20/2008
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