Individual provider · NPI-1

Shelby George Blevins III

Nurse Practitioner, Family · Mount Airy, NC

NPI number1982302618
StatusActive
Last updated in NPPESFeb 22, 2023

Details

NPI
1982302618
Entity type
Individual (NPI-1)
Name
Shelby George Blevins III
Sex
Male
Sole proprietor
No
Enumeration date
Feb 22, 2023
Certification date
Feb 22, 2023
Last updated
Feb 22, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family272698NCYes

Practice location

113 Scenic Outlet Ln Ste 2
Mount Airy, NC 27030-9978

Phone 336-352-4900 · Fax 336-352-4901

Mailing address

113 Scenic Outlet Ln Ste 2
Mount Airy, NC 27030-9978

Phone 336-352-4900 · Fax 336-352-4901

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