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Individual

DR. KIRKWOOD TANNER SHULTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
19900 W CATAWBA AVE, SUITE C, CORNELIUS, NC 28031-4032
(800) 277-8151
Mailing address
PO BOX 5388, HIGH POINT, NC 27262-5388
(800) 277-8151

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
3870
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8976095
NC
01
P00095122
RAILROAD MEDICARE
NC
Enumeration date
09/12/2005
Last updated
01/03/2008
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