Individual
DR. JOHN POST SHALLCROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
11755 POINTE PL, STE. A-1, ROSWELL, GA 30076-4636
(770) 663-0923
(770) 663-6256
Mailing address
1660 HIGHGROVE CLUB DR, ALPHARETTA, GA 30004-6983
(770) 663-0923
(770) 663-6256
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
GA 001666
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00695912B
—
GA
01
—
582006242
TAX ID
GA
Enumeration date
02/15/2007
Last updated
03/21/2024
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