NPI 1003415977
Carson Watson Shadix, PAC
Practice location
- Address
- 5005 Oscar Baxter Dr, Tuscaloosa, AL 35405-3698
- Phone
- (205) 343-2225
- Fax
- (205) 343-7825
Registered specialties
Physician Assistant
Primary
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.