Individual
SHAWNTA SPEER ANAKWAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
705 GOODYEAR AVE, GADSDEN, AL 35903-1156
(256) 492-0375
(256) 492-9811
Mailing address
PO BOX 131329, BIRMINGHAM, AL 35213-6329
(256) 492-0375
(256) 492-9811
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
066357
GA
207RH0003X
Hematology & Oncology Physician
Primary
38504
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
529931810
MEDICAID GROUP NUMBER
AL
01
—
CK5459
RAILROAD MEDICARE GROUP PTAN
AL
01
—
E812
MEDICARE GROUP PTAN
AL
Enumeration date
11/02/2007
Last updated
07/29/2019
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