Most Relevant Information
Provider Data
NPI Number: | 1003217332 |
Provider Name: | SHELDA AMILCKA PA-C |
Entity Type: | Individual |
Taxonomy Code: | 363A00000X |
Specialty: | Physician Assistant |
License Number: | 0010-05218 |
Most Important Dates
Enumeration Date: | 09/05/2014 |
Last Updated: | 10/25/2020 |
Provider Practice Location
1900 RANDOLPH RD STE 300
CHARLOTTE
NC
282071106
Practice Location Phone/Fax
Phone: | 7043846225 |
Fax: | 7043163825 |
Provider Mailing Location
PO BOX 60447
CHARLOTTE
NC
282600447
Provider Mailing Phone/Fax
Phone: | 7043165000 |
Fax: | 7043165010 |