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NPI Code Detail

MEDICARE: CARLI SHEA ISOM

MEDICARE: CARLI SHEA ISOM
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
1235Z00000XSpeech-Language Pathologist30004974NC

General Provider Information

NPI Number : 1477400687
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLI SHEA ISOM
Provider Business Mailing Address
First Line : 2500 N CHURCH ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27405-4314
Country : US
Telephone Number : 336-375-2240
Fax Number : 336-375-2214
Provider Business Practice Location Address
First Line : 2500 N CHURCH ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27405-4314
Country : US
Telephone Number : 336-375-2240
Fax Number : 336-375-2214
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2026
Last Update Date : 06/23/2026

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Directions to “ CARLI SHEA ISOM ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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