BRIAN SHACKLEFORD

WINSTON SALEM, NC
NPI1154777662
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: NC  2019-00729)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-05-13
Last Update Date2019-08-26
Business Address
BRIAN SHACKLEFORD MD
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-2011
Mailing Address
BRIAN SHACKLEFORD MD
1 MEDICAL CENTER BLVD
WINSTON SALEM, NC 27103
Phone number: 336-716-2011