Provider Demographics
NPI:1801963251
Name:MARSHALL, SHEILA FRYER (DO)
Entity type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:FRYER
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 PADGETT COURT
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-9183
Mailing Address - Country:US
Mailing Address - Phone:919-303-3227
Mailing Address - Fax:919-303-3226
Practice Address - Street 1:101 SW CARY PKWY
Practice Address - Street 2:SUITE 170
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-5562
Practice Address - Country:US
Practice Address - Phone:919-467-5678
Practice Address - Fax:919-467-1948
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9501596207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8954044Medicaid
NC8954044Medicaid
E99663Medicare UPIN