Individual
DR. IRMANIE HEMPHILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1640 CAMPUS PARK DR STE A, MONROE, NC 28112-5284
(704) 340-6799
Mailing address
5014 TREMONT DR, INDIAN TRAIL, NC 28079-8853
(305) 310-2251
(704) 628-5936
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
13485
FL
207Q00000X
Family Medicine Physician
2015-02115
NC
207Q00000X
Family Medicine Physician
MD51757
SC
207Q00000X
Family Medicine Physician
Primary
ME108465
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004152400
—
FL
01
—
1457376352
RAHN SHAW MD PA GROUP NPI
—
01
—
14H8V
BCBS OF FLORIDA
FL
01
—
1760618243
TRICARE
FL
01
—
2844337
CIGNA
FL
01
—
592696120
RAHN SHAW MD PA TAX IDENTIFICATION
FL
01
—
K9529
MEDICARE GROUP NUMBER
FL
Enumeration date
06/10/2009
Last updated
02/20/2019
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