Individual
MS. SHANTEL MCCALLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1441 BOXWOOD BLVD, D18, COLUMBUS, GA 31906-2700
(706) 596-5500
Mailing address
1441 BOXWOOD BLVD, D18, COLUMBUS, GA 31906-2700
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/29/2016
Last updated
02/29/2016
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