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Individual

SHANNON LEIGH DUNN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
860 MONTCLAIR RD, SUITE 955, BIRMINGHAM, AL 35213-1923
(205) 332-3160
(866) 702-0880
Mailing address
860 MONTCLAIR RD, SUITE 955, BIRMINGHAM, AL 35213-1923
(205) 332-3160
(866) 702-0880

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
500
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
500
PA LICENSE
AL
Enumeration date
09/20/2005
Last updated
07/11/2013
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