Individual
SHELLEY STREET CALLENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
744 FIRST ST, MACON, GA 31201-6840
(478) 633-7600
(478) 633-7354
Mailing address
744 FIRST ST, MACON, GA 31201-6840
(478) 633-7600
(478) 633-7354
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
069155
GA
207RS0010X
Sports Medicine (Internal Medicine) Physician
069155
GA
208000000X
Pediatrics Physician
069155
GA
2080S0010X
Pediatric Sports Medicine Physician
Primary
069155
GA
Other
Enumeration date
01/10/2007
Last updated
09/15/2020
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