Provider Demographics
NPI:1831535178
Name:SHAMBLIN, WILLIAM JOSEPH JR (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:JOSEPH
Last Name:SHAMBLIN
Suffix:JR
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:1000 S STERLING ST
Mailing Address - Street 2:BROUGHTON HOSPITAL
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-3938
Mailing Address - Country:US
Mailing Address - Phone:828-433-2567
Mailing Address - Fax:828-433-2242
Practice Address - Street 1:1000 S STERLING ST
Practice Address - Street 2:BROUGHTON HOSPITAL
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-3938
Practice Address - Country:US
Practice Address - Phone:828-433-2567
Practice Address - Fax:828-433-2242
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-14
Last Update Date:2013-05-14
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC200672084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry