Individual
DR. SHAUNDRA LYNN HARRIS BLAKEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 638-6980
Mailing address
625 19TH ST S, BIRMINGHAM, AL 35233-1900
(205) 638-6980
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
33745
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/08/2013
Last updated
05/28/2019
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