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Individual
MESHAAN SHAUNTA FITZGERALD
Active
Individual
MESHAAN SHAUNTA FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.29609
AL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
P4047
TX
207RP1001X
Pulmonary Disease Physician
P4047
TX
208M00000X
Hospitalist Physician
Primary
MD.29609
AL
390200000X
Student in an Organized Health Care Education/Training Program
29609
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118136
—
AL
05
—
118138
—
AL
01
—
1770763450
TRICARE SOUTH
AL
01
—
511-04926
BCBS
AL
01
—
511-04927
BCBS
AL
Enumeration date
11/09/2007
Last updated
03/17/2017
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