MEDICARE: SHANEE LYNN SAVOIE P.A.

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	363AM0700X	Medical Physician Assistant	103041	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00459841	OTHER	NC	RAILROAD MEDICARE

General Provider Information

NPI Number	:	1326107244
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANEE LYNN SAVOIE P.A.

Provider Business Mailing Address
First Line	:	4251 ARENDELL ST
Second Line	:	SUITE B
City	:	MOREHEAD CITY
State	:	NC
Zip	:	28557-2869
Country	:	US
Telephone Number	:	252-222-3340
Fax Number	:

Provider Business Practice Location Address
First Line	:	4251 ARENDELL ST
Second Line	:	SUITE B
City	:	MOREHEAD CITY
State	:	NC
Zip	:	28557-2869
Country	:	US
Telephone Number	:	252-222-3340
Fax Number	:	252-222-3245

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

Provider Enumeration Date	:	12/06/2006
Last Update Date	:	09/23/2013

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