Organization
SHANNON HYDE, NP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA LENNOX (PROVIDER PLACEMENT COORDINATOR)
(704) 355-1311
Entity
Organization
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-2000
Mailing address
11313 HARROWFIELD RD, CHARLOTTE, NC 28226-3829
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
03/27/2013
Last updated
04/12/2013
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