Individual
SHAMEKA DANIELLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
357 KINGSTON CIR, BIRMINGHAM, AL 35211-6982
(205) 616-5181
Mailing address
357 KINGSTON CIR, BIRMINGHAM, AL 35211-6982
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F09170241
AL
Other
Enumeration date
10/25/2017
Last updated
10/25/2017
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