Individual
MS. SHUNTRELL MOULTRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1712 14TH WAY SW APT A, BIRMINGHAM, AL 35211-5013
(205) 834-6186
Mailing address
1712 14TH WAY SW APT A, BIRMINGHAM, AL 35211-5013
(205) 834-6186
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
06/02/2016
Last updated
06/02/2016
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