Individual
DR. GORDON ALBERT SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
302 MERCHANTS WALK STE 100, TUSCALOOSA, AL 35406-2291
(205) 523-9300
(205) 523-9301
Mailing address
302 MERCHANTS WALK 100, TUSCALOOSA, AL 35406-2291
(205) 523-9300
(205) 523-9301
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
00026424
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009994165
—
AL
01
—
51000907
BCBS
AL
Enumeration date
05/15/2006
Last updated
07/21/2022
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