Individual
MR. CHARLES EDGAR SHIFLETT III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMBT
Contact information
Practice address
291 KERR ST NW, CONCORD, NC 28025-4643
(704) 363-3525
Mailing address
291 KERR ST NW, CONCORD, NC 28025-4643
(704) 363-3525
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14791
NC
Other
Enumeration date
07/08/2016
Last updated
07/08/2016
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