SHONTRAY BERNARD WILSON

BIRMINGHAM, AL
NPI1093601346
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2025-06-14
Last Update Date2026-04-10
Business Address
SHONTRAY BERNARD WILSON
619 19TH ST S
BIRMINGHAM, AL 35249-1900
Phone number: 205-239-1623
Mailing Address
SHONTRAY BERNARD WILSON
619 19TH ST S
BIRMINGHAM, AL 35249-1900
Phone number: 205-239-1623