Doctor Name: | RUTH L SHIELDS |
NPI Number: | 1316993488 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 00004527 |
Business Practice Address: | 3151b Midtown Park S Mobile, AL - 366064146 |
Business Phone Number: | 2512068751 |
Business Fax Number: | 2514719505 |
Mailing Address: | 3151b Midtown Park S, MOBILE |
State: | AL |
Postal Code: | 366064146 |
Phone Number: | 2512068751 |
Fax Number: | 2514719505 |
NPI Enumeration Date: | 05/26/2006 |
NPI Last Update Date: | 08/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 00004527 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |