Individual
SHANTHALAXMI R IYER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3579 HIGHWAY 138, STE 103, STOCKBRIDGE, GA 30281-4142
(678) 565-3300
(678) 565-3311
Mailing address
3579 HIGHWAY 138, STE 103, STOCKBRIDGE, GA 30281-4142
(678) 565-3300
(678) 565-3311
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
051836
GA
2083X0100X
Occupational Medicine Physician
Primary
051836
GA
Other
Enumeration date
08/23/2005
Last updated
09/11/2025
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