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1073977948
SHANE CASEY TIPTON
CONCORD, NC
NPI
1073977948
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: NC 2022-00346)
Enumeration Date
2016-04-07
Last Update Date
2024-07-15
Business Address
SHANE CASEY TIPTON MD
1090 NE GATEWAY CT NE STE 204
CONCORD, NC 28025-2414
Phone number: 704-403-7020
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Mailing Address
SHANE CASEY TIPTON MD
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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