Individual
NICOLE SHOCKCOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 WOODRUFF CIRCLE WMB SUITE 51505, ATLANTA, GA 30322-1544
(855) 366-7989
Mailing address
2603 RANGEWOOD CT NE, ATLANTA, GA 30345-1509
(304) 906-5581
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
91689
GA
Other
Enumeration date
04/20/2015
Last updated
07/08/2022
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