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Individual

CALVIN SHADWRICK JR.

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1400 MCFARLAND BLVD N, TUSCALOOSA, AL 35406-2209
(205) 345-5500
(205) 502-5152
Mailing address
PO BOX 55059, BIRMINGHAM, AL 35255-5059
(256) 764-9697
(256) 764-9699

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-040228
AL

Other

Enumeration date
05/21/2006
Last updated
07/08/2007
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