Doctor Name: | DR. EVA B SHAY |
NPI Number: | 1760575203 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | 1607 |
Business Practice Address: | 165 Westmoreland St Harrogate, TN - 377528202 |
Business Phone Number: | 4238697193 |
Business Fax Number: | 4238697195 |
Mailing Address: | 165 Westmoreland St, HARROGATE |
State: | TN |
Postal Code: | 377528202 |
Phone Number: | 4238697193 |
Fax Number: | 4238697195 |
NPI Enumeration Date: | 10/02/2006 |
NPI Last Update Date: | 06/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204D00000X |
License Number: | 1607 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
Taxonomy Specialization: | |
Taxonomy Definition: |