Individual
DR. SHELLY LORRAINE WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4600 CAPITAL BLVD, RALEIGH, NC 27604-4478
(919) 980-7008
Mailing address
PO BOX 746724, ATLANTA, GA 30374-6724
(312) 733-9730
(773) 866-8014
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200001025
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00255758
RAILROAD MEDICARE
—
Enumeration date
07/03/2007
Last updated
09/23/2022
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