Individual
PAUL R SHOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 PROVIDENCE RD, SUITE 101, CHARLOTTE, NC 28207-1468
(704) 749-5800
(704) 749-5819
Mailing address
200 PROVIDENCE RD, SUITE 101, CHARLOTTE, NC 28207-1468
(704) 749-5800
(704) 749-5819
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
200400261
NC
Other
Enumeration date
09/15/2005
Last updated
10/05/2010
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