Individual
MICHAEL JAMES SHEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 VAIL AVE, CHARLOTTE, NC 28207-1248
(704) 973-5500
Mailing address
PO BOX 30637, CHARLOTTE, NC 28230-0637
(704) 973-5500
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2011-01411
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2011-01411
STATE MEDICAL BOARD
NC
01
—
27907
STATE MEDICAL BOARD
SC
Enumeration date
04/25/2008
Last updated
04/17/2018
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