Shalom Family Practice and Medical Spa Llc.
NPI #1154020667 in Huntsville, Alabama
Provider Information
- NPI Number
- 1154020667
- Entity Type
- Organization
- Organization Name
- Shalom Family Practice and Medical Spa Llc.
- Primary Specialty
- Family Medicine
- Enumeration Date
- Feb 23, 2023
- Last Updated
- Apr 11, 2023
Practice Location
- Address
- 333 WHITESPORT DR SW STE 304
- City
- Huntsville
- State
- Alabama
- ZIP Code
- 35801-3455
- Phone
- (256) 469-0350
Authorized Official
- Name
- DR. IBUKUNOLUWA PICKENS, D.O.
- Title
- OWNER/D.O.
- Phone
- (256) 469-0350
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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