Individual
MARY AUTUMN SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13845 CONLAN CIR, CHARLOTTE, NC 28277-2705
(704) 544-2092
Mailing address
14106 CARAWAY WOODS CT, CHARLOTTE, NC 28277-3305
(901) 413-7388
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
237142
NC
Other
Enumeration date
07/26/2012
Last updated
06/12/2013
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