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Individual

SHANNON A ROSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 996-7782
(205) 975-6549
Mailing address
703 VOLKER HALL, BIRMINGHAM, AL 35294-0001
(205) 934-3795
(205) 975-2499

Taxonomy

Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
24303
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009920745
AL
05
009920795
AL
Enumeration date
06/10/2006
Last updated
01/14/2011
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