Charnette H Shade
MD | Pediatrics | Female
Charnette H Shade, MD is a Rocky Mount, North Carolina based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Charnette H Shade is
91 Enterprise Dr, Rocky Mount, North Carolina - 27804-9590. She can be contacted on phone at
252-451-3100 and fax number 252-937-3106.
Charnette H Shade is a sole proprietor of her business.
NPI number (Unique professional ID) for Charnette H Shade is
1942294764 which was assigned by NPPES on 08 Sep, 2005 and it was last updated on 08 Mar, 2019.
Charnette H Shade license number is
200400745 for Pediatrics (208000000X) in North Carolina.
Charnette H Shade is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Charnette H Shade basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Charnette H Shade |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Charnette H Shade address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 91 Enterprise Dr
Rocky Mount, NC, 27804-9590
United States |
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| Phone Number : | 252-451-3100 |
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| Fax Number : | 252-937-3106 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1942294764 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 08 Sep, 2005 |
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| Last Updated On : | 08 Mar, 2019 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Charnette H Shade are as mentioned. Primary taxonomy code for Charnette H Shade, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 200400745 | NC |
Legacy Identifiers:
Other legacy medical identifiers of Charnette H Shade such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 137AJ | Other | NC | BCBSNC |
| 1902525 | Other | NC | UNITED HEALTH CARE |
| 9568009 | Other | NC | CIGNA HEALTHCARE |
| D5324 | Other | NC | MEDCOST |
| 89137AJ | MEDICAID | NC | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
100 NASH MEDICAL ARTS MALL,
ROCKY MOUNT, NC, 27804-1400
United States | ROCKY MOUNT, NC | 252-451-3100 |
921 N WINSTEAD AVE,
ROCKY MOUNT, NC, 27804-8749
United States | ROCKY MOUNT, NC | 252-937-0300 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 7200
Rocky Mount, NC, 27804-0200
United States |
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| Phone Number : | 252-937-0200 |
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| Fax Number : | 252-451-0056 |
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Business Location:
Patients can refer following map for directions to
Charnette H Shade practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.