Individual
RAY SHROUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
234 AQUARIUS DR STE 111, BIRMINGHAM, AL 35209-5867
(205) 949-0400
(205) 949-0405
Mailing address
234 AQUARIUS DR STE 111, BIRMINGHAM, AL 35209-5867
(205) 949-0400
(205) 949-0405
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
Primary
E3723
AL
Other
Enumeration date
02/06/2015
Last updated
02/06/2015
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