RODERICK DARNELL SHINE

MONTGOMERY, AL
NPI1215459854
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LN0005X Nurse Practitioner, Neonatal, Critical Care
(Licence: AL  1-120663)
Enumeration Date2017-07-15
Last Update Date2017-07-15
Business Address
RODERICK DARNELL SHINE CRNP
2105 E SOUTH BLVD
MONTGOMERY, AL 36116-2409
Phone number: 334-288-2100
Mailing Address
RODERICK DARNELL SHINE CRNP
90 EMERALD DR
PIKE ROAD, AL 36064-2932
Phone number: 334-294-8029
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