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Individual
SHANA FAY EGGE
Active
Individual
SHANA FAY EGGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2004-01206
NC
208000000X
Pediatrics Physician
Primary
35176
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89138PG
—
NC
05
—
G51573
—
SC
Enumeration date
03/22/2006
Last updated
02/19/2014
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