Organization
SAMFORD UNIVERSITY
Active
Other names
Samford University Student Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAUNA N YELTON PA-C (DIRECTOR STUDENT HEALTH SERVICES)
(205) 726-2835
Entity
Organization
Contact information
Practice address
800 LAKESHORE DR, BIRMINGHAM, AL 35229-0001
(205) 726-2835
(205) 726-4042
Mailing address
800 LAKESHORE DR, BIRMINGHAM, AL 35229-0001
(205) 726-2835
(205) 726-4042
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA-247
STATE LICENSE
AL
Enumeration date
01/17/2007
Last updated
08/22/2020
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