Srd Muscle Shoals Pllc
NPI #1316678592 in Muscle Shoals, Alabama
Provider Information
- NPI Number
- 1316678592
- Entity Type
- Organization
- Organization Name
- Srd Muscle Shoals Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 20, 2022
- Last Updated
- Jul 6, 2022
Practice Location
- Address
- 2402 AVALON AVE STE A
- City
- Muscle Shoals
- State
- Alabama
- ZIP Code
- 35661-3286
- Phone
- (256) 383-1112
Authorized Official
- Name
- CHRISTYN SHIELDS
- Title
- CONTROLLER
- Phone
- (256) 320-5903
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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