Individual
SHAN'TERIKA LA'TRIECE REMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 NORTHCREST DRIVE, SUITE 520, SPRINGFIELD, TN 37172
(615) 219-6190
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8400
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
73712
TN
207V00000X
Obstetrics & Gynecology Physician
MD-20814
HI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VAD000
MEDICARE UPIN
—
Enumeration date
05/19/2017
Last updated
11/20/2025
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