Individual provider · Type 1 NPI

Charles Shane Daniels, MD

Interventional Pain Medicine Physician · Wilmington, NC

NPI number 1710167168 Active

Practice location

4130 Oleander Dr Ste 100
Wilmington, NC 28403-6844

Fax (910) 338-0860

Mailing address

PO Box 52411
Phoenix, AZ 85072-2411

Other practice locations

  • 5838 Six Forks Rd Ste 100, Raleigh, NC 27609-3893 · (919) 785-3400

Specialties and licenses

TaxonomyCodeLicense
Physical Medicine & Rehabilitation Physician 208100000X2023-01908 (NC)
Interventional Pain Medicine Physician Primary 208VP0014X2023-01908 (NC)
Physical Medicine & Rehabilitation Physician 208100000XA94985 (CA)
Pain Medicine Physician 208VP0000X2023-01908 (NC)
Pain Medicine (Anesthesiology) Physician 207LP2900X2023-01908 (NC)

Interventional Pain Medicine Physician: Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

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About NPI 1710167168

Charles Shane Daniels, MD's National Provider Identifier is 1710167168, issued on Nov 13, 2007. The primary taxonomy on file is Interventional Pain Medicine Physician (208VP0014X), and the practice location is in Wilmington, NC. The record was last updated on Dec 4, 2025.