Individual
PATRICIA SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 BLYTHE BLVD, CHARLOTTE, NC 28203-5814
(704) 355-9330
Mailing address
1100 BLYTHE BLVD, CHARLOTTE, NC 28203-5814
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
9901612
NC
Other
Enumeration date
07/04/2006
Last updated
02/12/2019
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