Individual
SUSANNE MAYER SHINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1901 S SHADY ST, MOUNTAIN CITY, TN 37683-2021
(423) 727-1103
(423) 727-1140
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD28373
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080137334
RAILROAD MEDICARE
TN
05
—
1659337772
—
VA
05
—
3803942
—
TN
01
—
4062633
BCBS
TN
05
—
Q009918
—
TN
01
—
TN0168
JOHN DEERE
TN
Enumeration date
04/26/2006
Last updated
02/29/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us