Individual
STEPHEN MILAN SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 DOCTORS DR, NEW ALBANY, MS 38652-3109
(662) 534-5036
(662) 534-9696
Mailing address
400 DOCTORS DRIVE, NEW ALBANY, MS 38652
(662) 534-5036
(662) 534-9696
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
07361
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018005
—
MS
Enumeration date
04/21/2006
Last updated
02/28/2011
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