Individual
SHANNON MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
203 7TH ST S UNIT B, CLANTON, AL 35045-3703
(205) 415-7600
Mailing address
203 7TH ST S UNIT B, CLANTON, AL 35045-3703
(205) 415-7600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1-092253
AL
Other
Enumeration date
10/04/2024
Last updated
10/04/2024
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