Individual
MRS. DOROTHY SHANNON WATERS-HWANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2350 SCHILLINGER ROAD S, MOBILE, AL 36695
(251) 445-7614
(251) 410-6127
Mailing address
2350 SCHILLINGER ROAD S, MOBILE, AL 36695
(251) 445-7614
(251) 410-6127
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
26064
AL
207P00000X
Emergency Medicine Physician
Primary
33210
KY
207R00000X
Internal Medicine Physician
M-13371
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51523731
BLUE CROSS BLUE SHIELD
AL
Enumeration date
11/15/2005
Last updated
02/09/2022
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