Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 900185 | NC |
NPI | 1053542381 |
---|---|
Provider Name | Sheila A. Shine |
First Address | Charlotte, NC 28260-1043 |
Second Address | Cary, NC 27518-8682 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2009 |
Last Update Date | 04/08/2009 |