Individual
SHANTELL ROLLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
10310 FELD FARM LN, STE 100, CHARLOTTE, NC 28210-8523
(704) 759-9020
(704) 759-9022
Mailing address
6700 FISHERS FARM LN, APT B1, CHARLOTTE, NC 28277-0339
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4082
NC
Other
Enumeration date
03/30/2011
Last updated
03/30/2011
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