Individual
SHANE BIERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
424 PELLETIER LOOP RD, SWANSBORO, NC 28584-7473
(252) 503-1299
Mailing address
424 PELLETIER LOOP RD, SWANSBORO, NC 28584-7473
(252) 503-1299
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A194586
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/03/2021
Last updated
09/09/2025
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