Individual
SHELTON M HISLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OB GYN NP
Contact information
Practice address
25 COURTHOUSE DR. NE, BOLIVIA, NC 28422
(910) 253-2250
(910) 253-2370
Mailing address
4336 LOBLOLLY CIR SE, SOUTHPORT, NC 28461-8491
(910) 253-3353
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
051074
NC
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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