Organization
MITCHELL C. SHIRAH M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE LYNN ESTES RN, BSN (OFFICE MANAGER)
(334) 863-8951
Entity
Organization
Contact information
Practice address
59664 HIGHWAY 22, ROANOKE, AL 36274-4438
(334) 863-8951
(334) 863-2361
Mailing address
59664 HIGHWAY 22, ROANOKE, AL 36274-4438
(334) 863-8951
(334) 863-2361
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9705
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5299921880
—
AL
01
—
DC5335
RAILROAD MEDICARE
AL
Enumeration date
03/17/2008
Last updated
09/09/2013
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