Individual
JUDI L. SHAKULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
3969 S. COBB DR., STE. 102, SMYRNA, GA 30080-6358
(770) 319-5502
(770) 434-9010
Mailing address
900 CIRCLE 75 PKWY., STE. 900, ATLANTA, GA 30339-3084
(770) 384-0284
(404) 446-1957
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD000581
GA
Other
Enumeration date
05/24/2012
Last updated
07/24/2012
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