| NPI | 1598830408 |
|---|---|
| Doing Business As | SHELBY CHILDREN'S CLINIC |
| Entity Type | Organization |
| Authorized Contact | DANIEL L WIENS Senior Vice President 704-355-0648 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2013-08-06 |