Individual
BRETT K SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3735 GLENLAKE DR STE 250, CHARLOTTE, NC 28208-6866
(704) 749-5801
Mailing address
3735 GLENLAKE DR STE 250, CHARLOTTE, NC 28208-6866
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101264817
VA
207L00000X
Anesthesiology Physician
Primary
202102318
NC
Other
Enumeration date
04/10/2015
Last updated
10/26/2022
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