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1396739116

NPI Code Detail

MEDICARE: LINDA ANNE BASSETT SHAFTOE MD

MEDICARE: LINDA ANNE BASSETT SHAFTOE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	9500717	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	110124023	OTHER	NC	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	9592084	OTHER	NC	CIGNA HEALTHCARE
3	9592084	OTHER	NC	CIGNA
4	7540N	OTHER	NC	BCBS OF NC
5	68581	OTHER	NC	MEDCOST
6	7540N	OTHER	NC	BCBSNC
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	1445603	OTHER	NC	UNITED HEALTH CARE

General Provider Information

NPI Number	:	1396739116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA ANNE BASSETT SHAFTOE MD

Provider Business Mailing Address
First Line	:	PO BOX 7200
Second Line	:
City	:	ROCKY MOUNT
State	:	NC
Zip	:	27804-0200
Country	:	US
Telephone Number	:	252-937-0200
Fax Number	:	252-451-0056

Provider Business Practice Location Address
First Line	:	901 N WINSTEAD AVE
Second Line	:
City	:	ROCKY MOUNT
State	:	NC
Zip	:	27804-8467
Country	:	US
Telephone Number	:	252-937-0235
Fax Number	:	252-937-3103

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2005
Last Update Date	:	11/07/2023

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Directions to “ LINDA ANNE BASSETT SHAFTOE MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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