Individual
SHELBY CAROLYN BEAUCHAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 SOMERBY DR APT 1012, MOBILE, AL 36695-5435
(980) 982-1299
Mailing address
1200 SOMERBY DR APT 1012, MOBILE, AL 36695-5435
(980) 982-1299
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
8652465
AL
Other
Enumeration date
03/30/2015
Last updated
03/30/2015
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