Individual
TANYA SHEMIKA SHIPMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1315 MULBERRY ST, MONTGOMERY, AL 36106-1132
(334) 262-1113
Mailing address
1877 STILL OAKS DR, MONTGOMERY, AL 36117-4808
(334) 235-9895
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD23542
AL
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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