Phelps Family Practice, Pllc
NPI #1285830414 in Shallotte, North Carolina
Provider Information
- NPI Number
- 1285830414
- Entity Type
- Organization
- Organization Name
- Phelps Family Practice, Pllc
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Jun 25, 2007
- Last Updated
- Mar 7, 2023
Practice Location
- Address
- 204 SMITH AVE
- City
- Shallotte
- State
- North Carolina
- ZIP Code
- 28470-4458
- Phone
- (910) 842-2443
Authorized Official
- Name
- MRS. SHANNON BARDIN PHELPS, F.N.P.
- Title
- OWNER
- Phone
- (910) 842-2443
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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