Southard, Shirley W
Southard, Shirley W is an individual health care provider with primary practice located at 1650 Greenfield St , Wilmington NC 28401-6456. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Southard, Shirley W can be contacted via phone (910) 798-3500.Contact Information
Primary practice address
1650 Greenfield St
Wilmington NC 28401-6456
Phone: (910) 798-3500
Fax: (910) 798-7834
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 853 | North Carolina |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 11871 | North Carolina |
Profile Details
| NPI number | 1083651376 |
|---|---|
| LBN Legal business name | Southard, Shirley W |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Jul 7th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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