Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | 26367 | NC |
NPI | 1255435988 |
---|---|
Provider Name | Dr. James Neil Shearer |
First Address | Charlotte, NC 28207-2027 |
Second Address | Charlotte, NC 28207-2027 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8975584 | (05) | NC |
C81441 | (02) |