SearchNorth Carolina106S00000X

Sandra Shackleford

NPI 1831965292 · on the registry since 2023

Practice

Address
687 Moore Rouse Rd
Snow Hill, NC 28580
Phone
(252) 419-2407
Organisation at this address
Shackleford Guiding Light Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-11-28

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