Organization
PSYCHIATRIC SERVICES OF CAROLINAS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NILIMA V SHUKLA M.D. (OWNER)
(704) 867-6188
Entity
Organization
Contact information
Practice address
1530 UNION RD STE A, GASTONIA, NC 28054-2201
(704) 867-6188
(704) 866-4437
Mailing address
1530 UNION RD STE A, GASTONIA, NC 28054-2201
(704) 867-6188
(704) 866-4437
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1088L
BLUE CROSS BLUE SHIELD
NC
05
—
5911302
—
NC
Enumeration date
02/23/2007
Last updated
03/30/2019
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