Individual
SHAQUILL NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5960 FAIRVIEW RD STE 400, CHARLOTTE, NC 28210-3119
(980) 224-3640
Mailing address
5960 FAIRVIEW RD STE 400, CHARLOTTE, NC 28210-3119
(980) 224-3640
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
F6D3R5Q3
NC
Other
Enumeration date
04/09/2026
Last updated
04/22/2026
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