Individual
J SHIRLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5461 MERIDIAN MARK RD STE 200, ATLANTA, GA 30342-4014
(404) 785-2072
(404) 785-5892
Mailing address
5461 MERIDIAN MARK RD STE 200, ATLANTA, GA 30342-4014
(404) 785-2072
(404) 785-5892
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DNCS000144
GA
Other
Enumeration date
11/09/2006
Last updated
06/06/2022
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