Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 9901647 | NC |
N | 208600000X | Surgeon | 9901647 | NC |
Y | 2086S0102X | Surgical Critical Care | 9901647 | NC |
NPI | 1093780009 |
---|---|
Provider Name | William Shillinglaw |
First Address | Charlotte, NC 28260-2373 |
Second Address | Asheville, NC 28801-4601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2006 |
Last Update Date | 27/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8912387 | (05) | NC |