Gilmore, Shannon M

Gilmore, Shannon M is an individual health care provider with primary practice located at 6332 Piccadilly Square Dr , Mobile AL 36609-5143. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Gilmore, Shannon M can be contacted via phone (251) 461-9914.

Contact Information

Primary practice address
6332 Piccadilly Square Dr Mobile AL 36609-5143
Phone: (251) 461-9914
Fax: (251) 461-9916
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 12943 Alabama
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X C6942 Arkansas

Profile Details

NPI number 1689673006
LBN Legal business name Gilmore, Shannon M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689673006 NPPES
Alabama Other 89055 BLUE CROSS

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