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SHAWNA CRIBB
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1124780721
Individual Registrant: SHAWNA CRIBB
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
125 BENJAMIN H HILL DR SW FITZGERALD, GA 31750-8606 US
Tel: 229-635-4004 Fax: --
Tel: 229-635-4004 Fax: --
Contact information for business:
1500 1ST AVE N UNIT 3 BIRMINGHAM, AL 35203-1866 US
Tel: 205-545-5088 Fax: --
Tel: 205-545-5088 Fax: --
Registration Information:
NPI: 1124780721
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | GA | RN236603 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
