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Individual

SCOTTIE M SHELLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
229989
NC
363LA2100X
Acute Care Nurse Practitioner
Primary
17720
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP2252
SC
Enumeration date
03/05/2012
Last updated
03/01/2023
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