Individual provider · Type 1 NPI
Krista L. Shaw, CCADC
Addiction Medicine (Preventive Medicine) Physician · Charlotte, NC
NPI number
1083586309
Active
Practice location
4949A Albemarle Rd
Charlotte, NC 28205-6617
Mailing address
132 Forest Oaks Dr
Iron Station, NC 28080-9613
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Preventive Medicine) Physician Primary | 2083A0300X | CADC-29393 (NC) |
Addiction Medicine (Preventive Medicine) Physician: 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.
3 other providers at this address
Other addiction medicine (preventive medicine) physician providers in Charlotte
About NPI 1083586309
Krista L. Shaw, CCADC's National Provider Identifier is 1083586309, issued on Sep 18, 2025. The primary taxonomy on file is Addiction Medicine (Preventive Medicine) Physician (2083A0300X), and the practice location is in Charlotte, NC. The record was last updated on Sep 18, 2025.