NPI 1063158582
Shakia Leann Nelson, CEO
Practice location
- Address
- 1830 Owen Dr STE 202-2, Fayetteville, NC 28304-1611
- Phone
- (910) 218-0015
- Fax
- (910) 500-3999
Registered specialties
Clinical Laboratory Director (Non-physician)
Primary
Registry record
- NPI
- 1063158582
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 8 May 2022
- Record last updated
- 8 May 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.