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DILLETA ANDREE SHACKELFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
520 GRIFFIN AVE, VALDOSTA, GA 31601-6331
(229) 249-6302
(229) 249-4009
Mailing address
520 GRIFFIN AVE, VALDOSTA, GA 31601-6331
(229) 249-6302
(229) 249-4009

Taxonomy

Speciality
Code
Description
License number
State
363LX0106X
Occupational Health Nurse Practitioner
Primary
RN080625
GA

Other

Enumeration date
07/14/2010
Last updated
07/14/2010
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