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NPI Profile for KRISTA L SHAW in CHARLOTTE, NC.
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction Medicine |
2083A0300X | 84 | Physician/Preventive Medicine |
| NPI # | 1083586309 |
|
| Status | Active | |
| Credentials | CCADC | |
| Entity | Individual | |
| Enumeration date | 09/18/2025 | |
| Last updated | 09/18/2025 - About 9 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) | Not Available |
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KRISTA L SHAW
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KRISTA L SHAW, CCADC