Individual
DR. SHELLY RHODES WEISENFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
774 SHADES MOUNTAIN PLZ, HOOVER, AL 35226-1513
(205) 979-3381
Mailing address
774 SHADES MOUNTAIN PLZ, HOOVER, AL 35226-1513
(205) 979-3381
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
21225
AL
207Q00000X
Family Medicine Physician
Primary
21225
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106246
—
AL
01
—
1063444644
TRICARE SOUTH
AL
01
—
515-96752
BCBS
AL
Enumeration date
07/06/2006
Last updated
01/24/2023
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