Individual
SHASSITY STEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8500 PINEVILLE MATTHEWS RD STE M, CHARLOTTE, NC 28226-4714
(225) 333-6836
Mailing address
8334 PINEVILLE MATTHEWS RD STE 103-272, CHARLOTTE, NC 28226-3774
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
335E00000X
NC
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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