Willie Shine CSAC

  • NPI 1407253123
According to our database, the NPI number for Willie Shine CSAC is 1407253123 and activated since 9 years ago. Willie Shine CSAC is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 7925 North Tryon St, Charlotte, NC 28262. You can also contact Willie Shine CSAC via telephone number is (704) 612-0566. Provider NPI information was last updated on 11/24/2014.

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Overview of Willie Shine CSAC

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 11/24/2014
  • Last updated: 11/24/2014

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: CSAC-20389
  • License State: NC

Provider Mailing Address

  • Address: 7925 N Tryon St
    Charlotte, NC 28262
  • Phone: 980-612-0566
  • Fax: 704-498-4846

Provider Practice Location

  • Address: 7925 North Tryon St
    Charlotte, NC 28262
  • Phone: 704-612-0566
  • Fax: 704-498-4846

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: CSAC-20389
  • License State: NC
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Willie Shine CSAC?
  • A: The npi number for Willie Shine CSAC is 1407253123.
  • Q: What are Willie Shine CSAC's specialties?
  • A: Willie Shine CSAC's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for Willie Shine CSAC?
  • A: The medical license number for Willie Shine CSAC is CSAC-20389 and issued in NC in USA.
  • Q: Where is Willie Shine CSAC practice location?
  • A: Willie Shine CSAC is practicing at 7925 North Tryon St, Charlotte, NC 28262.
  • Q: How to contact Willie Shine CSAC?
  • A: You can contact Willie Shine CSAC via 704-612-0566.