Provider Demographics
NPI:1467899179
Name:SHELL, CAROLINE DAVIS (DO)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:DAVIS
Last Name:SHELL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:CAROLINE
Other - Middle Name:
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:37 WALKER AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-4030
Mailing Address - Country:US
Mailing Address - Phone:410-653-6500
Mailing Address - Fax:
Practice Address - Street 1:37 WALKER AVE STE 100
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21208-4030
Practice Address - Country:US
Practice Address - Phone:410-653-6500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDH83864207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology