Individual
DR. ANDREW RUSSELL SHINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
619 19TH ST S # JT804, BIRMINGHAM, AL 35249-2173
(205) 934-6810
Mailing address
619 19TH ST S # JT804, BIRMINGHAM, AL 35249-6810
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
51150
AL
207P00000X
Emergency Medicine Physician
Primary
72011
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2022
Last updated
03/18/2026
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