Individual
GRADY SHUE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2134 14TH AVENUE CIR NW, HICKORY, NC 28601-7357
(828) 580-1235
Mailing address
1701 EAST BLVD., CHARLOTTE, NC 28203
(704) 362-5391
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2005-01768
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5903691
—
NC
Enumeration date
06/20/2006
Last updated
05/23/2017
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