Individual
FELICIA SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1911 GREYMOUTH RD APT 104, CHARLOTTE, NC 28262-8233
(803) 908-6461
Mailing address
PO BOX 38154, CHARLOTTE, NC 28278-1002
(803) 908-6461
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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