Individual
MICHAEL B SHIPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4220 N ROXBORO ST, DURHAM, NC 27704-1826
(919) 471-1518
Mailing address
4220 N ROXBORO ST, DURHAM, NC 27704-1826
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20343
NC
207R00000X
Internal Medicine Physician
20343
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8975910
—
NC
Enumeration date
09/06/2006
Last updated
10/10/2007
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