Individual
LINDA ANNE BASSETT SHAFTOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
901 N WINSTEAD AVE, ROCKY MOUNT, NC 27804-8467
(252) 937-0235
(252) 937-3103
Mailing address
PO BOX 7200, ROCKY MOUNT, NC 27804-0200
(252) 937-0200
(252) 451-0056
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9500717
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110124023
RAILROAD MEDICARE
NC
01
—
1445603
UNITED HEALTH CARE
NC
01
—
68581
MEDCOST
NC
01
—
7540N
BCBS OF NC
NC
05
—
897540N
—
NC
01
—
9592084
CIGNA HEALTHCARE
NC
Enumeration date
09/08/2005
Last updated
11/07/2023
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