IndividualActive
Fanny Alie-Cusson, MD
NPI 1225524978 · Vascular Surgery Physician · Shelby, NC
Provider details
- NPI number
- 1225524978
- Entity type
- Individual
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 2023-02260 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
111 W Grover St
Shelby, NC 28150-3824
Phone: (980) 487-1900
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 19305
Charlotte, NC 28219-9305
Additional practice locations (4)
- 10650 Park RdCharlotte, NC 28210-8538Phone: (704) 667-3840
- 100 Medical Park DrSte 210Concord, NC 28025-2948Phone: (704) 403-6100
- 447 Mcalister RdSte 3200Lincolnton, NC 28092-4114Phone: (980) 212-6300
- 1550 Faulk StSte 3100Monroe, NC 28112-5086Phone: (704) 667-3410
Registry dates
- Enumerated
- 2018-07-05
- Last updated
- 2024-07-15
- Certified
- 2023-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.