Individual
SHANE CHRISTOPHER MASTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. PH.D. PHARM.D.
Contact information
Practice address
WFUHS DEPARTMENT OF RADIOLOGY, MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-3202
Mailing address
PO BOX 602658, CHARLOTTE, NC 28260-2658
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2011-00703
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810023022
—
WV
05
—
5920599
—
NC
05
—
Q03011
—
SC
Enumeration date
12/21/2007
Last updated
11/02/2012
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