Whalio Doctors

NPI 1003415977

Carson Watson Shadix, PAC

Practitioner Physician Assistant Tuscaloosa, AL

Practice location

Address
5005 Oscar Baxter Dr, Tuscaloosa, AL 35405-3698
Phone
(205) 343-2225
Fax
(205) 343-7825

Registered specialties

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 1691 (AL)

Registry record

NPI
1003415977
Entity type
Individual
Sex (as registered)
Female
NPI issued
21 Oct 2020
Record last updated
14 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.