NPI 1811345507

Shuntrell Moultrie

Practitioner Contractor Birmingham, AL

Practice location

Address: 1712 14th Way SW APT a, Birmingham, AL 35211-5013
Phone: (205) 834-6186

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1811345507
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Jun 2016
Record last updated: 2 Jun 2016

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.