Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 36829 | NC |
NPI | 1245284058 |
---|---|
Provider Name | Dr. David C. Shaver |
First Address | Charlotte, NC 28260-0447 |
Second Address | Charlotte, NC 28204-3261 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2006 |
Last Update Date | 25/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8976633 | (05) | NC |
B04440 | (02) | NC |
N36829 | (05) | SC |