Individual
DR. SCOTT BRINTON SHAWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 VAIL AVE STE 200, CHARLOTTE, NC 28207
(704) 323-3668
Mailing address
4601 PARK RD, SUITE 300, CHARLOTTE, NC 28209-3239
(704) 323-2090
(704) 945-7681
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101055230
VA
207X00000X
Orthopaedic Surgery Physician
Primary
2002-01310
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386749133
—
NC
05
—
N01310
—
SC
Enumeration date
09/14/2006
Last updated
06/05/2018
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