Individual
DR. JONATHAN L. SHELINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MS
Contact information
Practice address
112 SWIFT AVE, DURHAM, NC 27705-4883
(919) 336-0566
Mailing address
1301 FAYETTEVILLE ST, DURHAM, NC 27707-2325
(919) 956-4000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29199
NC
Other
Enumeration date
04/03/2007
Last updated
01/09/2020
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