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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHARLES SHANE DANIELS, MD

Active Sole Proprietor

CHARLES SHANE DANIELS, MD is a Interventional Vascular Surgery healthcare provider located in WILMINGTON, North Carolina. NPI 1710167168 is currently active in the NPPES registry. Verify at CMS.

Interventional Vascular Surgery · WILMINGTON, NC

Registration Details

NPI Number
1710167168
Provider Type
Individual
Gender
Male
NPI Issued
Nov 13, 2007 (18.760836660449 yrs)
Last Updated
Dec 4, 2025
Licenses
2023-01908 (NC)
2023-01908 (NC)
A94985 (CA)
2023-01908 (NC)
2023-01908 (NC)
Sole Proprietor
Yes

Practice Information

Address
4130 OLEANDER DR STE 100
WILMINGTON, NC, 284036844
Browse NC providers · Browse ZIP 28403
Phone
9103383494
Fax
9103380860
Primary Specialty
Interventional Vascular Surgery
208VP0014X
Additional Specialty
Vascular Surgery

Other Interventional Vascular Surgery Providers in WILMINGTON, NC

Name Credential NPI
SUNIL K ARORA MD 1558366385
JOHN H KNAB MD 1265437008
FRANCIS S PECORARO MD 1528021086
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.