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Individual

MS. SHMONICA LANAE MCCARROLL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2141 17TH AVE S # 1714B, BIRMINGHAM, AL 35205-5023
(205) 499-3008
Mailing address
1714 WOODCREST ROAD, B, BIRMINGHAM, AL 35205
(205) 499-3008

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-158073
AL
363LF0000X
Family Nurse Practitioner
Primary
1-158073
AL

Other

Enumeration date
05/06/2022
Last updated
09/24/2024
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