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NPI Code Detail

MEDICARE: SHEILA A MUNDAY

MEDICARE: SHEILA A MUNDAY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RR0500XRheumatology Physician5009537NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15009537OTHERNCNC STATE

General Provider Information

NPI Number : 1003337312
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHEILA A MUNDAY
Provider Business Mailing Address
First Line : 3101 JOHN HUMPHRIES WYND
Second Line :
City : RALEIGH
State : NC
Zip : 27612-5302
Country : US
Telephone Number : 919-881-8272
Fax Number : 919-881-2026
Provider Business Practice Location Address
First Line : 3101 JOHN HUMPHRIES WYND
Second Line :
City : RALEIGH
State : NC
Zip : 27612-5302
Country : US
Telephone Number : 919-881-8272
Fax Number : 919-881-2026
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2017
Last Update Date : 06/16/2018

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Directions to “ SHEILA A MUNDAY ” Practice Location

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