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Individual

SYLVIA SHELLENBERGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3780 EISENHOWER PKWY, MACON, GA 31206-0800
(478) 633-5550
(478) 784-3550
Mailing address
3780 EISENHOWER PKWY, MACON, GA 31206-0800
(478) 633-5500
(478) 784-3550

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000238268C
GA
01
680015751
RAILROAD MCR - HSCG
GA
Enumeration date
02/27/2006
Last updated
04/01/2010
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