IndividualActive
Krista Shaw, CCADC
NPI 1083586309 · Addiction Medicine (Preventive Medicine) Physician · Charlotte, NC
Provider details
- NPI number
- 1083586309
- Entity type
- Individual
- Primary specialty
- Addiction Medicine (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- CCADC
- Sex
- Female
- Sole proprietor
- No
- License
- CADC-29393 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4949a Albemarle Rd
Charlotte, NC 28205-6617
Phone: (918) 289-0270
Approximate (ZIP-level) locationGet directions
Mailing address
132 Forest Oaks Dr
Iron Station, NC 28080-9613
Registry dates
- Enumerated
- 2025-09-18
- Last updated
- 2025-09-18
- Certified
- 2025-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.