Individual
DR. NANCY ELLEN CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1170 WYKE RD., SHELBY, NC 28150-3406
(704) 482-6767
(704) 484-2507
Mailing address
1170 WYKE RD, SHELBY, NC 28150-4259
(704) 482-6767
(704) 600-6232
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
20157
SC
207W00000X
Ophthalmology Physician
Primary
98 01213
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0841483
UNITED HEALTH CARE
—
01
—
11512
BCBS
NC
01
—
11512
BCBS
SC
01
—
11512
BLUE CROSS BLUE SHIELD
—
01
—
2075830
FIRST HEALTH
—
01
—
2109354
MAMSI INSURANCE
—
01
—
2257439
MC SOUTH CAROLINA
—
01
—
561705541
WORKMANS COMP
NC
01
—
561705541
WORKMANS COMP
SC
01
—
561705541
CMS 1500
—
05
—
8911512
—
NC
Enumeration date
12/19/2005
Last updated
10/05/2023
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