Individual
MRS. DEBRA MARIE SHELBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
032562
Contact information
Practice address
708 MARYETHEL DR, MONTGOMERY, AL 36109-1706
(334) 593-5540
(334) 260-5582
Mailing address
708 MARYETHEL DR, MONTGOMERY, AL 36109-1706
(334) 593-5540
(334) 260-5582
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
R00120147
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
R00120147
—
AL
Enumeration date
01/09/2009
Last updated
01/09/2009
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