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Judy Shackett
NPI 1407150543 · on the registry since 2011
Practice
- Address
- 3667 Signet Dr
Winston Salem, NC 27101 - Phone
- (339) 725-3888
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-01-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina