Provider Demographics
NPI:1265923536
Name:ARTHUR, SHANELLE RANAE (DO)
Entity type:Individual
Prefix:
First Name:SHANELLE
Middle Name:RANAE
Last Name:ARTHUR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:SHANELLE
Other - Middle Name:RANAE
Other - Last Name:HOLLOWAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:344 SYCAMORE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-7343
Mailing Address - Country:US
Mailing Address - Phone:248-752-7692
Mailing Address - Fax:
Practice Address - Street 1:509 N BRIGHTLEAF BLVD
Practice Address - Street 2:
Practice Address - City:SMITHFIELD
Practice Address - State:NC
Practice Address - Zip Code:27577-4407
Practice Address - Country:US
Practice Address - Phone:919-938-7189
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-22
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2021-02487207R00000X, 208M00000X
MI5101024187207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine