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Individual

SHUNTA C. TAYLOR-GETER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
619 19TH ST S, ROOM JT845, BIRMINGHAM, AL 35249-1900
(205) 934-7072
(205) 975-5963
Mailing address
PO BOX 11407, ATTN: DEPT 1717, BIRMINGHAM, AL 35246-0100
(205) 979-5882
(205) 979-1248

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN143629
TN
367500000X
Certified Registered Nurse Anesthetist
1-137540
AL
367500000X
Certified Registered Nurse Anesthetist
APN13625
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
RN184462
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110677
AL
05
1513123
TN
01
4194916
BLUE CROSS BLUE SHIELD OF TN
TN
05
427087670A
GA
05
8053564
NC
01
N475530
WELLCARE (GA MEDICAID)
GA
01
P00747429
RAILROAD MEDICARE
TN
Enumeration date
07/22/2008
Last updated
02/19/2018
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