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Individual

MRS. CHELSEA MASHBURN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
610 PROVIDENCE PARK DR E STE 102, MOBILE, AL 36695-4618
(251) 639-5070
(251) 634-2994
Mailing address
8297 AMANDA LN, IRVINGTON, AL 36544-4512
(334) 791-2596

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PA-1187
AL
363A00000X
Physician Assistant
PA.1187
AL

Other

Enumeration date
11/16/2016
Last updated
01/02/2019
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