Individual
SHANNA F MAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
97 OAK PARK DR, TROY, AL 36079-3081
(334) 566-7172
Mailing address
97 OAK PARK DR, TROY, AL 36079-3081
(334) 566-7172
(334) 566-7121
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-853-TA-409
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009935191
—
AL
01
—
051532603
B/C PROVIDER #
AL
Enumeration date
03/10/2006
Last updated
09/19/2019
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