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SHELLY RENEA OBASOLUYI
NPI 1508424029
Clinic/Center - Multi-Specialty in Fayetteville, NC

Active since May 30, 2019
403 ATWELL DR, FAYETTEVILLE, NC 28314(910) 260-8842 Get Directions Write a Review

NPPES record last updated: May 30, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shelly Renea Obasoluyi NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHELLY RENEA OBASOLUYI (NPI 1508424029) is an individual multi-specialty provider in Fayetteville, North Carolina and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1508424029
Entity TypeIndividualFemale
Primary Taxonomy261QM1300X
Provider Legal NameSHELLY RENEA OBASOLUYI
Location Address403 ATWELL DRFayetteville, NC 28314-0122
Mailing Address403 Atwell DrFayetteville, NC 28314-0122 · (910) 260-8842
Phone(910) 260-8842
Sole ProprietorYes
Enumeration DateMay 30, 2019
✔ NPI 1508424029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
403 ATWELL DR, Fayetteville, NC 28314
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shelly Obasoluyi's NPI number?

The NPI number for Shelly Obasoluyi is 1508424029. It was assigned to this individual provider in the NPPES registry on May 30, 2019.

Where is Shelly Obasoluyi located?

Shelly Obasoluyi practices at 403 Atwell Dr, Fayetteville, NC 28314. The listed phone number is (910) 260-8842.

What is Shelly Obasoluyi's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Shelly Obasoluyi was last updated on May 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.