Individual
DR. SHELLI DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
508 RIVERSIDE PKWY NE STE 300, ROME, GA 30161-2985
(404) 904-5096
Mailing address
19 DEVONSHIRE DR SE, ROME, GA 30161-4062
(404) 904-5096
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR010642
GA
Other
Enumeration date
10/25/2021
Last updated
07/25/2022
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