MEDICARE: MRS. DEBRA MARIE SHELBY 032562

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172V00000X	Community Health Worker	R00120147	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144467333
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DEBRA MARIE SHELBY 032562

Provider Business Mailing Address
First Line	:	708 MARYETHEL DR
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36109-1706
Country	:	US
Telephone Number	:	334-593-5540
Fax Number	:	334-260-5582

Provider Business Practice Location Address
First Line	:	708 MARYETHEL DR
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36109-1706
Country	:	US
Telephone Number	:	334-593-5540
Fax Number	:	334-260-5582

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2009
Last Update Date	:	01/09/2009

Similar Medicare Providers

1619810454 — TA'KIRRA SIMS
Practice Location Address:

756 MARYETHEL DR
MONTGOMERY, AL
36109-1706

Practice Phone: 334-604-1886
Practice Fax:

1740990605 — SANGINE HOWARD LMSW
Practice Location Address:

732 MARYETHEL DR
MONTGOMERY, AL
36109-1706

Practice Phone: 334-467-7254
Practice Fax:

1518055433 — DR. MATTHEW SHANE SIMPSON MD
Practice Location Address:

21105 EVA ST , SUITE 100
MONTGOMERY, TX
77356-1706

Practice Phone: 936-597-8585
Practice Fax:

1891883609 — STEVEN PATRICK STOWERS MD
Practice Location Address:

21105 EVA ST , SUITE 100
MONTGOMERY, TX
77356-1706

Practice Phone: 936-597-8585
Practice Fax:

1992885966 — TINABEN H. PATEL PA
Practice Location Address:

21105 EVA ST , SUITE 100
MONTGOMERY, TX
77356-1706

Practice Phone: 936-597-8585
Practice Fax: 936-597-6433

1326399940 — ALYSON CLAIRE BAYER L.AC.
Practice Location Address:

21105 EVA ST STE 110
MONTGOMERY, TX
77356-1706

Practice Phone: 936-703-5040
Practice Fax: 936-220-4016

Directions to “ MRS. DEBRA MARIE SHELBY 032562” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.