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Individual
DR. CARRIE SHAFFER
Active
Individual
DR. CARRIE SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02002783A
IN
207Q00000X
Family Medicine Physician
104692
GA
207Q00000X
Family Medicine Physician
2025023431
MO
207Q00000X
Family Medicine Physician
4135
AL
207Q00000X
Family Medicine Physician
6346
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000717646
ANTHEM TRADITIONAL
IN
05
—
200497510
—
IN
Enumeration date
06/20/2005
Last updated
08/01/2025
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