Gregory Damon Shanton in Newport - Medical

Gregory Damon Shanton - NPI 1083882765

Gregory Damon Shanton is a Medical in Newport, North Carolina. Gregory Damon Shanton practices all healthcare services and medical treatments related to Medical. The NPI Number for Gregory Damon Shanton is 1083882765. The last update date is 2008-02-14.

Gregory Damon Shanton's current location address is 420 Old Airport Rd, Newport, North Carolina. You can contact this provider via phone number 2525284734. The mailing address for Gregory Damon Shanton is 420 Old Airport Rd, Newport, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Gregory Damon Shanton
Address 420 Old Airport Rd, Newport, North Carolina
Phone Number 2525284734
Fax Number
Sole Proprietor Y
Credentials PA

NPI Number Detail

NPI Number 1083882765
Provider Enumeration Date 2008-02-14
Last Updated Date 2008-02-14

Provider Mailing Address Detail

Address 420 Old Airport Rd
City Newport
State North Carolina (NC)
Post Code 285706560
Phone Number 2525284734
Fax Number

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 101943
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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FAQs about Gregory Damon Shanton

What is the unique provider identifier assigned to Gregory Damon Shanton?

The Gregory Damon Shanton has been issued the NPI (National Provider Identifier) 1083882765 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Where is the Gregory Damon Shanton located?

The Gregory Damon Shanton is located at 420 Old Airport Rd, Newport, NC 285706560.

What is the Gregory Damon Shanton's specialty and taxonomy code?

The Gregory Damon Shanton's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.

On what date did the Gregory Damon Shanton receive the assignment of its 1083882765 from the Centers for Medicare & Medicaid Services?

The Gregory Damon Shanton was issued its 1083882765 by the Centers for Medicare & Medicaid Services on 2008-02-14.

When was the Gregory Damon Shanton's information last updated?

The Gregory Damon Shanton's information was last updated on 2008-02-14.

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