Individual
DR. DAVID E. SHANKS
Active
Individual
DR. DAVID E. SHANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20440
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30596
MEDCOST
NC
01
—
406291010
PALMETTO GBA RR MEDICARE
NC
01
—
561254125
CIGNA HEALTHCARE
NC
01
—
75428
BLUE CROSS
NC
05
—
8975428
—
NC
Enumeration date
11/07/2006
Last updated
08/25/2009
Update your record
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