Individual
DR. SHADLEY C SCHIFFERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1915 RANDOLPH RD, SUITE 100, CHARLOTTE, NC 28207-1101
(704) 323-2000
Mailing address
4601 PARK RD, STE 300, CHARLOTTE, NC 28209-3239
(704) 323-2000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
200600805
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5904714
—
NC
05
—
NC1051
—
SC
Enumeration date
07/16/2006
Last updated
08/19/2015
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