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Individual

CHEN SHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
811 COX RD, GASTONIA, NC 28054-3453
(704) 272-3578
(704) 272-3579
Mailing address
225 BALDWIN AVE, CHARLOTTE, NC 28204-3109
(704) 376-1605
(704) 335-8448

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
2023-01310
NC
207T00000X
Neurological Surgery Physician
90669
SC

Other

Enumeration date
04/07/2015
Last updated
03/20/2024
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