Individual
MALLORY SHILLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
120 HAWTHORNE PARK, ATHENS, GA 30606-2147
(706) 353-8700
Mailing address
PO BOX 117264, ATLANTA, GA 30368-7264
(706) 369-5440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
84754
GA
208D00000X
General Practice Physician
208D00000X
FL
Other
Enumeration date
05/25/2016
Last updated
10/20/2020
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