Individual provider · Type 1 NPI
Shelly Renea Obasoluyi
Multi-Specialty Clinic/Center · Fayetteville, NC
NPI number
1508424029
Active
Practice location
403 Atwell Dr
Fayetteville, NC 28314-0122
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
About NPI 1508424029
Shelly Renea Obasoluyi's National Provider Identifier is 1508424029, issued on May 30, 2019. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Fayetteville, NC. The record was last updated on May 30, 2019.