Healthcare Provider Details

I. General information

NPI: 1922413640
Provider Name (Legal Business Name): ASHLEY CORINNE SHAFFERMAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2014
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3104 BLUE LAKE DR STE 101
VESTAVIA AL
35243-2345
US

IV. Provider business mailing address

3287 HILLARD DR
VESTAVIA AL
35243-4227
US

V. Phone/Fax

Practice location:
  • Phone: 659-212-4371
  • Fax:
Mailing address:
  • Phone: 205-915-6790
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0116027352
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number39378
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: