NPI | 1063535151 |
---|---|
Other Name | SHELBY E BRINSON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9104115) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA9104115) |
Enumeration Date | 2007-04-06 |
Last Update Date | 2020-06-14 |