MEDICARE: SCOTT B SHAPIRO 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	207V00000X	Obstetrics & Gynecology Physician	9601722	NC
2	2083P0901X	Public Health & General Preventive Medicine Physician	R2532	KY

General Provider Information

NPI Number	:	1205814258
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT B SHAPIRO MD

Provider Business Mailing Address
First Line	:	6640 OLD MONROE RD STE G
Second Line	:
City	:	INDIAN TRAIL
State	:	NC
Zip	:	28079-5360
Country	:	US
Telephone Number	:	704-282-9355
Fax Number	:

Provider Business Practice Location Address
First Line	:	6640 OLD MONROE RD STE G
Second Line	:
City	:	INDIAN TRAIL
State	:	NC
Zip	:	28079-5360
Country	:	US
Telephone Number	:	704-282-9355
Fax Number	:	888-859-9355

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

Provider Enumeration Date	:	01/09/2006
Last Update Date	:	03/04/2024

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Directions to “ SCOTT B SHAPIRO MD” Practice Location

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