Organization
ALBEMARLE WOMENS CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN SHEN MD (MEDICAL DOCTOR BUSINESS OWNER)
(704) 982-8112
Entity
Organization
Contact information
Practice address
1000 N 5TH STREET, ALBEMARLE, NC 28001-3420
(704) 982-8112
(704) 982-8097
Mailing address
1000 N 5TH STREET, ALBEMARLE, NC 28001-3420
(704) 982-8112
(704) 982-8097
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
39651
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01032
BLUE CROSS BLUE SHIELD
NC
05
—
8901032
—
NC
Enumeration date
10/10/2006
Last updated
08/22/2020
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