Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 5009826 | NC |
NPI | 1023537099 |
---|---|
Provider Name | Mrs. Sherri Shetley |
First Address | Thomasville, NC 27360 |
Second Address | Winston Salem, NC 27157 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/09/2017 |
Last Update Date | 11/09/2017 |