Individual
SHAWN SMALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5326 GRENELEFE VILLAGE RD, CHARLOTTE, NC 28269-3050
(704) 698-8988
(980) 699-0016
Mailing address
PO BOX 561314, CHARLOTTE, NC 28256-1314
(704) 698-8988
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
—
—
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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