Individual
DR. DANIEL E SHANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 512-7562
(704) 512-7576
Mailing address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 512-7562
(704) 512-7576
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5902604
—
NC
Enumeration date
07/19/2006
Last updated
10/11/2007
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