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Contact Information

SHELLY W DARTY, PAC
861 OLD WINSTON RD
KERNERSVILLE, NC27284-7140
 Phone: 336-802-2300
 Fax: 336-802-2301
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for SHELLY W DARTY · (Female)

NPI Number 1013990712
Status Active
Credentials PAC
Entity Individual
Enumeration date 11/28/2005
Last updated 05/18/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 102585
  • NC Other 7057773 AETNA
  • NC Other D7935 MEDCOST
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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