Individual
DR. CHRISTY SHAFFER RAINEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
110 BUSINESS PARK DR, STE C, BRANSON, MO 65616-7426
(417) 239-0125
(417) 239-0127
Mailing address
3988 HAMMONDS FRY, STE C, EVANS, GA 30809-8022
(210) 323-5982
(210) 901-9353
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
2007035572
MO
207N00000X
Dermatology Physician
Primary
M8331
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204056105
—
MO
Enumeration date
05/09/2007
Last updated
08/18/2016
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