Anderson, Victoria Shamblin

Anderson, Victoria Shamblin is an individual health care provider with primary practice located at 101 Eagle Ridge Dr , Birmingham AL 35242-5319. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Anderson, Victoria Shamblin can be contacted via phone (205) 995-1004.

Contact Information

Primary practice address
101 Eagle Ridge Dr Birmingham AL 35242-5319
Phone: (205) 995-1004
Fax: (205) 991-6075
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 31308 Alabama

Profile Details

NPI number 1629396940
LBN Legal business name Anderson, Victoria Shamblin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2010
Last updated Jan 4th, 2016 - about 10 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 1629396940 NPPES
Alabama MEDICAID 000159818
Alabama Other 511-46489

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