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Individual

DR. PATRICIA POTTER SHAPIRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1326 EISENHOWER DR, SAVANNAH, GA 31406-3928
(912) 691-4200
(912) 691-4209
Mailing address
1326 EISENHOWER DR, SAVANNAH, GA 31406-3928
(912) 691-4200
(912) 691-4209

Taxonomy

Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
039937
GA
2085R0202X
Diagnostic Radiology Physician
Primary
039937
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
551852
BCBS
GA
05
T23178
SC
Enumeration date
07/14/2005
Last updated
10/08/2007
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