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Contact Information

SHOALS INFECTIOUS DISEASE CONSULTANTS LLC
22281 US HIGHWAY 72 STE A
ATHENS, AL35613-2601
 Phone: 256-444-4401
 Fax: 256-444-4403
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Wound Care

163WW0000X
Indicates primary specialty

NPI Profile & details for SHOALS INFECTIOUS DISEASE CONSULTANTS LLC · (Female)

NPI Number 1083192173
Status Active
Credentials
Entity Individual
Enumeration date 08/01/2018
Last updated 08/23/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • License # 180531025
  • License # MD.36985
  • AL Medicaid 219543
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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