Individual
DEBORAH ALINE SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5 PROFESSIONAL PLZ, STARKVILLE, MS 39759-1900
(662) 323-0999
(662) 324-0250
Mailing address
5 PROFESSIONAL PLZ, STARKVILLE, MS 39759-1900
(662) 323-0999
(662) 324-0250
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
13209
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00113620
—
MS
01
—
09015837
GROUP MEDICAID NUMBER
MS
Enumeration date
08/11/2006
Last updated
11/03/2011
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