Individual
GREGORY WILLIAM SHIELDS
Active
Individual
GREGORY WILLIAM SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
00014931
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000091248
—
AL
01
—
051007047
BCBS AL
AL
05
—
061675300
—
FL
05
—
537850840B
—
GA
Enumeration date
05/02/2006
Last updated
05/23/2008
Update your record
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