Individual
CAROLYN SHANLEY DAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2800 BLUE RIDGE ROAD, SUITE 300, RALEIGH, NC 27607-4988
(919) 784-7874
(919) 784-2708
Mailing address
2800 BLUE RIDGE ROAD, SUITE 300, RALEIGH, NC 27607-4988
(919) 784-7874
(919) 784-2708
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
35799
KY
208600000X
Surgery Physician
01066148A
IN
208600000X
Surgery Physician
Primary
201301684
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000330047
ANTHEM FACET NUMBER
KY
01
—
0918302
MEDICARE
KY
05
—
200929560
—
IN
05
—
50004060
—
KY
05
—
64072952
—
KY
01
—
P00136405
MEDICARE RAILROAD
KY
Enumeration date
07/01/2005
Last updated
11/07/2023
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