Individual
GLYNN SHIELDS CASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5721 USA N DR, MOBILE, AL 36688-0001
(251) 445-9265
Mailing address
241 WOODHILL DR, MOBILE, AL 36608-2487
(251) 401-1440
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
AL
Other
Enumeration date
10/08/2025
Last updated
10/08/2025
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