Individual
SHANNON M GILMORE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6332 PICCADILLY SQUARE DR, MOBILE, AL 36609-5143
(251) 461-9914
(251) 461-9916
Mailing address
6332 PICCADILLY SQUARE DR, MOBILE, AL 36609-5143
(251) 461-9914
(251) 461-9916
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
12943
AL
207VG0400X
Gynecology Physician
C6942
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
89055
BLUE CROSS
AL
Enumeration date
07/18/2005
Last updated
07/08/2007
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