Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHELLY RENEA OBASOLUYI
Active Sole ProprietorSHELLY RENEA OBASOLUYI is a Multi-Specialty Clinic healthcare provider located in FAYETTEVILLE, North Carolina. NPI 1508424029 is currently active in the NPPES registry. Verify at CMS.
Multi-Specialty Clinic · FAYETTEVILLE, NC
Registration Details
- NPI Number
- 1508424029
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 30, 2019 (7.2291546122184 yrs)
- Last Updated
- May 30, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
403 ATWELL DRFAYETTEVILLE, NC, 283140122Browse NC providers · Browse ZIP 28314
- Phone
- 9102608842
- Primary Specialty
-
Multi-Specialty Clinic
261QM1300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.