Organization
SHEAR GENIUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YONNETTE C CAESAR (OWNER)
(704) 495-4202
Entity
Organization
Contact information
Practice address
650 E BROOKLYN VILLAGE AVE # 19, CHARLOTTE, NC 28202-3400
(704) 495-4202
Mailing address
6028 VECKMAN CT, CHARLOTTE, NC 28269-5419
(704) 495-4202
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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