Individual
SANDRA R SHAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1303 DR MARTIN L KING JR AVE, MOBILE, AL 36603-5341
(251) 432-4117
Mailing address
6700 WALL ST APT 2J, MOBILE, AL 36695-4521
(334) 549-0554
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1-096584
AL
Other
Enumeration date
08/06/2022
Last updated
08/06/2022
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