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Individual
DR. JAMIE DAVID SHUTTER
Active
Individual
DR. JAMIE DAVID SHUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
2011-00052
NC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25728
NV
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
D0091999
MD
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD036095
DC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
ME 98596
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
R9435
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01299
BLUE CROSS BLUE SHIELD
FL
01
—
162VJ
BCBSNC
NC
05
—
278431900
—
FL
05
—
5916767
—
NC
Enumeration date
05/26/2006
Last updated
12/19/2024
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