|Active||Over 3 years ago|
|7925 NORTH TRYON ST
CHARLOTTE NC, 28262, US
|7925 N TRYON ST
CHARLOTTE NC, 28262-3408, US
|License State||North Carolina|
|Remove 1407253123 NPI Number|
According to our database, Willie Shine CSAC NPI is 1407253123, taxonomy code is 101YA0400X and license number is CSAC-20389, license state is located at North Carolina. Willie Shine CSAC physically located at 7925 North Tryon St, Charlotte NC, 28262. NPI Number Willie Shine CSAC has the Individual type.
1407253123 NPI number is provided on an as is basis without warranty of any kind. 1407253123 is maintained by the National Plan & Provider Enumeration System. The contents of Willie Shine CSAC are for informational purposes only.