Provider Demographics
NPI:1326107244
Name:SAVOIE, SHANEE LYNN (PA)
Entity Type:Individual
Prefix:
First Name:SHANEE
Middle Name:LYNN
Last Name:SAVOIE
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4251 ARENDELL ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:MOREHEAD CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28557-2869
Mailing Address - Country:US
Mailing Address - Phone:252-222-3340
Mailing Address - Fax:
Practice Address - Street 1:4251 ARENDELL ST
Practice Address - Street 2:SUITE B
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-2869
Practice Address - Country:US
Practice Address - Phone:252-222-3340
Practice Address - Fax:252-222-3245
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2013-09-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC103041363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCP00459841OtherRAILROAD MEDICARE
NC2753083BMedicare PIN
NCP57136Medicare UPIN