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Individual

DR. MARK THOMAS SHAPIRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1311 N ELM ST, GREENSBORO, NC 27401-6305
(336) 378-9993
(336) 274-5884
Mailing address
1311 N ELM ST, GREENSBORO, NC 27401-6305
(336) 378-9993
(336) 274-5884

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
20509
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
180025125
RAILROAD MEDICARE
NC
05
890249U
NC
01
AS7656068
DR.MTS,MD
NC
Enumeration date
08/12/2005
Last updated
05/12/2011
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