Organization
SELECT HEALTH PAIN AND REGENERATIVE MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC SHAPIRO (PRESIDENT)
(704) 763-2151
Entity
Organization
Contact information
Practice address
15720 BRIXHAM HILL AVE STE 130, CHARLOTTE, NC 28277-4784
(704) 541-5555
Mailing address
15720 BRIXHAM HILL AVE STE 130, CHARLOTTE, NC 28277-4784
(704) 541-5555
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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