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SHAWNA CRIBB

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1124780721

Individual Registrant:
 SHAWNA  CRIBB 
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: --

Contact information for business:
1500 1ST AVE N UNIT 3  BIRMINGHAM, AL 35203-1866 US
Tel: 205-545-5088  Fax: --

Registration Information:
NPI: 1124780721
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
GARN236603

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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