Organization
MOBILE REPRODUCTIVE ENDOCRINOLOGY AND INFERTILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNON M GILMORE MD (PRESIDENT)
(251) 461-9914
Entity
Organization
Contact information
Practice address
6332 PICCADILLY SQUARE DR, MOBILE, AL 36609-5143
(251) 461-9914
Mailing address
6332 PICCADILLY SQUARE DR, MOBILE, AL 36609-5143
(251) 461-9914
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
12943
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D978
MEDICARE PROVIDER #
AL
Enumeration date
07/18/2007
Last updated
08/20/2024
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