Most Relevant Information
Provider Data
| NPI Number: | 1003654856 |
| Provider Name: | SHELLEY ELIZABETH MATTHEWS |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: | RTL24-0776 |
Most Important Dates
| Enumeration Date: | 07/16/2024 |
| Last Updated: | 07/23/2024 |
Provider Practice Location
2100 STANTONSBURG RD
GREENVILLE
NC
278342818
Practice Location Phone/Fax
| Phone: | 9102983125 |
| Fax: |
Provider Mailing Location
2100 STANTONSBURG RD
GREENVILLE
NC
278342818
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |