Individual
SHANNON GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1189 ALLBRITTON RD, WARRIOR, AL 35180-2663
(205) 244-3085
Mailing address
3135 3RD ST NE, CENTER POINT, AL 35215-2033
(205) 515-9350
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
1-128598
AL
Other
Enumeration date
11/09/2024
Last updated
11/09/2024
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