Individual
SHANNA TANNER SCLATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5321 RIVER PLANTATION DR, THEODORE, AL 36582-7562
(251) 366-9046
Mailing address
5321 RIVER PLANTATION DR, THEODORE, AL 36582-7562
(251) 366-9046
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2689
AL
Other
Enumeration date
07/22/2024
Last updated
12/02/2025
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