Individual
DR. CHARLES DANA HERSHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 BLYTHE BLVD, SOUTHEAST ANESTHESIOLOGY CONSULTANTS PA, CHARLOTTE, NC 28203-5812
(704) 355-2372
(704) 355-6692
Mailing address
PO BOX 36351, SOUTHEAST ANESTHESIOLOGY CONSULTANTS PA, CHARLOTTE, NC 28236-6351
(704) 377-5772
(704) 377-3389
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20606
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
208158
MEDICAID
SC
05
—
8941994
—
NC
Enumeration date
10/10/2005
Last updated
07/08/2007
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