Individual
TAYLOR C'MON SHACKELFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EP-C
Contact information
Practice address
1755 GRASSLAND PKWY, ALPHARETTA, GA 30004
(678) 580-1404
Mailing address
1755 GRASSLAND PKWY, ALPHARETTA, GA 30004-8600
(678) 580-1404
Taxonomy
Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
—
GA
Other
Enumeration date
07/20/2018
Last updated
07/23/2018
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