Individual
SHAKIB LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
161 S WINSTEAD AVE, ROCKY MOUNT, NC 27804-3420
(919) 744-0360
Mailing address
504 MACON ST S, WILSON, NC 27893-6028
(919) 744-0360
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
02/09/2018
Last updated
02/09/2018
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