Healthcare Provider Details

I. General information

NPI: 1043912397
Provider Name (Legal Business Name): MARLAINA SHELDON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2023
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5727 PROSPERITY CROSSING DR STE 1500
CHARLOTTE NC
28269-0036
US

IV. Provider business mailing address

5727 PROSPERITY CROSSING DR STE 1500
CHARLOTTE NC
28269-0036
US

V. Phone/Fax

Practice location:
  • Phone: 704-863-9910
  • Fax:
Mailing address:
  • Phone: 704-863-9910
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number2026-02445
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: