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Individual

BENJAMIN MARK SHIRLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1802 6TH AVE S, BIRMINGHAM, AL 35233-1932
(205) 934-3411
Mailing address
1802 6TH AVE S, BIRMINGHAM, AL 35233-1932
(865) 382-7000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
08/28/2023
Last updated
08/28/2023
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