Individual
MISS SHANNA KILLEBREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4370 W MAIN ST, DOTHAN, AL 36305-1056
(334) 793-5000
(334) 615-8418
Mailing address
PO BOX 6599, DOTHAN, AL 36302-6599
(334) 793-5000
(334) 615-8418
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA964
AL
Other
Enumeration date
05/23/2014
Last updated
01/26/2021
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