Individual
DAVID M SHELBURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3020 BONBROOK DRIVE, WINSTON SALEM, NC 27106-0000
(336) 716-2255
(336) 896-1146
Mailing address
PO BOX 344, WFUHS - FAMILY MEDICINE REYNOLDA, WINSTON SALEM, NC 27102-0344
(336) 716-2255
(336) 896-1146
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2011-00398
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5917521
—
NC
Enumeration date
05/22/2008
Last updated
11/17/2011
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