Individual
SHARISSA BAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIRLOSS SPECIALIST
Contact information
Practice address
12740 S TRYON ST STE 200, CHARLOTTE, NC 28273-7276
(910) 729-2578
Mailing address
160 EMBASSY DR APT 105, FORT MILL, SC 29715-7336
(910) 729-2578
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
02/24/2016
Last updated
08/24/2023
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