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CHARLES SHANE DANIELS MD

Individual Provider (NPI-1) Active

Pain Medicine, Interventional Pain Medicine

Provider Information

NPI Number
1710167168
Provider Type
Individual Provider (NPI-1)
Credentials
MD
Status
Active

Contact & Location

Address
4130 OLEANDER DR STE 100, WILMINGTON, NC, 284036844
Phone
(910) 338-3494
Fax
(910) 338-0860

Specialties & Taxonomies

Physical Medicine & Rehabilitation License: NC #2023-01908
Pain Medicine, Interventional Pain Medicine Primary License: NC #2023-01908
Physical Medicine & Rehabilitation License: CA #A94985
Unknown License: NC #2023-01908
Anesthesiology, Pain Medicine License: NC #2023-01908

All Addresses

MAILING

PO BOX 52411

PHOENIX, AZ, 850722411

(919) 785-3400

LOCATION

4130 OLEANDER DR STE 100

WILMINGTON, NC, 284036844

(910) 338-3494