Search › North Carolina › 183500000X
Shantell Ingram-Green
NPI 1992130652 · on the registry since 2013 · sole proprietor
Practice
- Address
- 10012 Weiss Way
Waxhaw, NC 28173 - Phone
- (704) 321-2694
- Organisation at this address
- Cvs
North Carolina Cvs Pharmacy LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 21
Additional practice sites
- 726 Broadway, New York, NY
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Also registered as
- 183500000X
- Licence states on file
- NY, NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-12-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina