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NPI Code Detail

MEDICARE: DR. SHANNON M JOYCE MD

MEDICARE: DR. SHANNON M JOYCE 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
1207QG0300XGeriatric Medicine (Family Medicine) Physician01045328AIN
2207Q00000XFamily Medicine Physician01045328AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790769289
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHANNON M JOYCE MD
Provider Business Mailing Address
First Line : 5926 CRAWFORDSVILLE RD UNIT B
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46224-3722
Country : US
Telephone Number : 317-653-2730
Fax Number : 317-623-1440
Provider Business Practice Location Address
First Line : 5926 CRAWFORDSVILLE RD UNIT B
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46224-3722
Country : US
Telephone Number : 317-653-2730
Fax Number : 317-623-1440
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2005
Last Update Date : 09/21/2018

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Directions to “ DR. SHANNON M JOYCE MD” Practice Location

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