Individual
DR. JONATHAN JASON SHAMMAA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 GREENO RD S STE B, FAIRHOPE, AL 36532-1905
(251) 929-3424
Mailing address
300 GREENO RD S STE B, FAIRHOPE, AL 36532-1905
(251) 929-3424
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.42873
AL
390200000X
Student in an Organized Health Care Education/Training Program
L.4811R
AL
Other
Enumeration date
09/04/2018
Last updated
08/09/2021
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