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Contact Information

DONALD P SHACKELFORD, MD
2100 STANTONSBURG RD
GREENVILLE, NC27834-2818
 Phone: 252-847-2273
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207VC0200X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for DONALD P SHACKELFORD · (Male)

NPI # 1174581284
Status Active
Credentials MD
Entity Individual
Enumeration date 05/01/2006
Last updated 03/06/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 9501090
  • NC Medicaid 891205U
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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