Individual
DR. ROBERT H SHACKELFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3915 JOHNS CREEK CT, STE 110, SUWANEE, GA 30024-1265
(770) 442-8472
(770) 751-6880
Mailing address
3915 JOHNS CREEK CT STE 110, SUWANEE, GA 30024-1265
(770) 442-8472
(770) 751-6880
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9972
GA
Other
Enumeration date
10/23/2007
Last updated
10/23/2007
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