NPI 1669592804
Gene Shirley, ROF
Practice location
- Address
- 1840 Owen Dr STE 102, Fayetteville, NC 28304-3455
- Phone
- (910) 484-2645
- Fax
- (910) 484-0866
Registered specialties
Orthotic Fitter
Primary
Registry record
- NPI
- 1669592804
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 30 Mar 2007
- Record last updated
- 9 Jul 2007
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.