Individual
SHANNON HARDWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35233-1900
(205) 934-7151
(205) 934-5939
Mailing address
330 WOODBROOK DR APT D67, GARDENDALE, AL 35071-2679
(205) 394-6271
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-138141
AL
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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