Individual
SHATT VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
4400 GOLF ACRES DR, BUILDING J, SUITE D, CHARLOTTE, NC 28208-5990
(704) 614-4594
Mailing address
2001 ALLEGHANY ST, CHARLOTTE, NC 28208-3734
(704) 564-6563
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2280
NC
Other
Enumeration date
12/11/2013
Last updated
03/14/2014
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