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1578266425
GREGORY SHIELDS
STATESVILLE, NC
NPI
1578266425
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-13325)
Enumeration Date
2023-03-22
Last Update Date
2023-07-05
Business Address
GREGORY SHIELDS
557 BROOKDALE DR
STATESVILLE, NC 28677-4107
Phone number: 704-873-5661
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Mailing Address
GREGORY SHIELDS
261 SUNDANCE CIR
STATESVILLE, NC 28625
Phone number: 704-880-4319
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