Provider Demographics
NPI:1285516591
Name:PAULDING, BUFFY SHINA (CERTIFIED PHLEBOTOMI)
Entity type:Individual
Prefix:
First Name:BUFFY
Middle Name:SHINA
Last Name:PAULDING
Suffix:
Gender:F
Credentials:CERTIFIED PHLEBOTOMI
Other - Prefix:
Other - First Name:SHINA
Other - Middle Name:
Other - Last Name:PAULDING
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHLEBOTOMIST
Mailing Address - Street 1:625 PINEYWOOD RD
Mailing Address - Street 2:
Mailing Address - City:GARDENDALE
Mailing Address - State:AL
Mailing Address - Zip Code:35071-2935
Mailing Address - Country:US
Mailing Address - Phone:205-585-0323
Mailing Address - Fax:
Practice Address - Street 1:625 PINEYWOOD RD
Practice Address - Street 2:
Practice Address - City:GARDENDALE
Practice Address - State:AL
Practice Address - Zip Code:35071-2935
Practice Address - Country:US
Practice Address - Phone:205-585-0323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-25
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL247047261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service