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NPI Code Detail

MEDICARE: TAMEKA SHIPMAN

MEDICARE:   TAMEKA  SHIPMAN
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
1174400000XSpecialist

General Provider Information

NPI Number : 1730974148
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMEKA SHIPMAN
Provider Business Mailing Address
First Line : 3206 DOVE TREE LN
Second Line :
City : RALEIGH
State : NC
Zip : 27610-6693
Country : US
Telephone Number : 919-895-2642
Fax Number :
Provider Business Practice Location Address
First Line : 5821 POYNER VILLAGE PKWY STE 105
Second Line :
City : RALEIGH
State : NC
Zip : 27616-3487
Country : US
Telephone Number : 919-895-2642
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2025
Last Update Date : 04/14/2025

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Directions to “ TAMEKA SHIPMAN ” Practice Location

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